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1030 BROADWAY 2018-01-02 MF Import
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1030 BROADWAY 2018-01-02 MF Import
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Last modified
5/31/2022 2:05:21 PM
Creation date
1/23/2017 6:37:43 PM
Metadata
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Template:
Address Document
Street Name
BROADWAY
Street Number
1030
Imported From Microfiche
Yes
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, <br /> �_„`�.��,., ., <br /> —o K-<�-<<,- ,�i . <br /> 1\'.U.F'��rm� ILW—F CCo.-6��6�7� , <br /> City of Everett—Water Department <br /> ApPLICATION FOR wATER <br /> Ali blanks muet bc— f���=� '^°r cros=ed out <br /> �j l�9-"" <br /> �../.�.......... <br /> EeerMt�...._...:l7.��..�t..... <br /> 1'0 TIIF. SUPEI21KTliTnrYCIT1 OF EV 2tiTT nrPABT1IENT� <br /> I hereby nnp'.Y fot the a"�c uf�v�'��� �i� �«'r.rdance��'�th lhc ivlcs and mBu- <br /> of thc �'��tcr mains mny be taken up bY rcason <br /> lations of thc 1�'ater Depnrtment, fnr purP�'�� s'nd fix'm'es stnled ���0s reet ur <br /> During thc timc thnt nny {n or ot nny <br /> af �n3' in:prnvemcnts nuthm•izcd by the Lh�`YC t `will not Lc rcnuired to :nrni�sh <br /> allc5 in u'hich ihcl' m�y hacc bcen lnid, Y <br /> mac tLus bc cut u,`f�.0-..1����O °�•�nY dan lges for its f:�te�o�t�+ /rY <br /> ic;�ter d�rm�, the io ress ot such im'�ro�•ements to :m consumer e�hose suPP <br /> ppplicntion Ao._ I <br /> LoL..... ....._. ....... Ad ... . . <br /> ato��.... ... J <br /> ha_ /��l° .�3 �/'(/a str��t <br /> c � <br /> _... <br /> _.... <br /> , <br /> _. .. .. .__. _ . _ . ��c—. .... _ Plumber <br /> qhe work to Ue�exocutel by. �- � � � <br /> State eize of Lnp. � � �� <br /> , � ' <br /> ��.,.�...Tnp La bc inserted in the niain. ��� <br /> r�� � <br /> . I <br /> `�.-' �:� '�,`, l.� � J <br /> ._.../.......\i'ntcr daset .� ...�'- � . <br /> , ,. � _ <br /> „ .� � <br /> ___.�.......Bnch <br /> � f�il1lZ u ��1LI) 4"'. <br /> CfiY [;� C1'�3FJS.1i'hir:li C:.;�i <br /> ."-:......Urinnl <br /> . <br /> _ , <br /> .. ..................... ........................... <br /> ..._Z,,... Plnin faucet insi�e ✓ <br /> . <br /> ....._�..._�I(�C WII��C R'R9�1CT <br /> .._�.._...Ilose biU outsida <br /> __-.-..,..Ilosc bib for building Pu*Pnsev ��� <br /> ........:-.:..lIose bib inside <br /> .........'.-....IIib for stnble contnininB......._..._......�tall._..__........... <br /> __,.._._--Numbcr of persons in family <br /> ,� ....NumUer of rooms m bui:dinF <br /> � 'Ihe premi=^s arc to bc used us u... .. ... . ..�. ; <br /> ...._... ... . ........_..... <br /> .. �(7� G... .GLiLf..GCC/L�/?2 <br /> 9'bc owner of the Premises ts_-_ . - <br /> .. ..................._............................... <br /> - -��.;� agcnt is. . .. . . . ... . .. . .__. ...._. <br /> . , npplicalion, nithough signeA hiill not be binding upon the City, until <br /> by tlie SuP�nnlend�t o ihe 1i'ater De�mrLment. <br /> �/ tkp�ilicnnt <br /> v�ur��� <br /> Signel./t ... .. .... �. ". <br /> .. ..<%...- /� �-��__192� BY.._�a^�y .-z. ... <br /> ../.�� -�����-� � _��. perintendent <br /> i <br /> .r . _ <br />
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