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1619 BROADWAY 2016-01-01 MF Import
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1619 BROADWAY 2016-01-01 MF Import
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Last modified
1/23/2017 9:41:43 PM
Creation date
1/23/2017 9:41:16 PM
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Address Document
Street Name
BROADWAY
Street Number
1619
Imported From Microfiche
Yes
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_. ___..._ � � � -� <br /> 1 <br /> � <br /> , <br /> G.vTb y-/°-/`��/1 <br /> W. D. Fom 1 1E�0 )-I.17 G.P. <br /> CITY O(= EVERETT==VVater Depar7ment , � <br /> Application for Water � <br /> All blanks must bc filled in or crossed oul <br /> r:,��•«��. — ---�/�9--- - �si .�_._ <br /> TU THB SUPGRINTENDF,�'7'OP THC WATBR UEPARTMIiNT, . , <br /> l'Il'Y OF EVIiRGTT: <br /> I hereby apply (ur the use of water in acrnnlance with the rules and rrgula� <br /> lions nf The Watcr UrVartncnt, G�r purposrs and fixtures sUted belnu•. . � <br /> DurinK [he�ime Ibat an}'uf the waicr mains may bi• laken up by reason ol <br /> anr improvemenls authorized by thr Cin� nf L��cretL in or of any slrcet �rt alley in <br /> �vhich they may have been IaiJ, the Ci4�will nm bc requircd tu (umixh aatv durin� <br /> �he prnKress o!sueh improvements tu any cnnsumer whnse supply may �hvs be cut <br /> o((,ar bc Iiablc for any damages fnr its (ailure so to do. <br /> ` O / 0 � <br /> ApplicxlinnNn."___7_ "_L'__�'5_'_ <br /> Bluck .-��_�____/_I�wiL.�e�'_l�' '____AdJ_'__'. '_'-._--- _ �� <br /> ____Nn..____ _���_J7.__.I._1-��J-^�.'_�'�_'�__�'_',_�_/�'.J']�� Strcet <br /> .__'_' _."'_ . "___"'._ - ..fJ__."_"__//"_��""_'___"__"""_.. J <br /> '1'hew�orkinbecxccutedby-_._.�-C'-_4V?�.d.__-.C�-�-fiQ�--__ Piumbcr <br /> Stnlc sizc n(tap. 0 � <br /> _��_..Tap to be inscrted in Ihe mein. _�- �� <br /> ^ <br /> ' �__'_Waterdose[ ' f�_. . <br /> � <br /> '_'�__' __ISalh !� �� 1� 11 ����, <br /> � V ?! <br /> .. _. __ _Urinal . '. �• � � <br /> _i <br /> ... ..'_._.Plnintaucetinsidc _� '�7� � <br /> .. _______Sidew�alkwashcr � <br /> , 1 I <br /> \ .' � '.1" '_"' <br /> _____".._Hnscbibnutside i� ,+'`�� � <br /> ___.___...HnsebibforbuilAingpurpuses \�����, ' m <br /> ._._____Hosc bib inciJc q{ <br /> . _"'_'.13ib(nr ctablc containinK --�-----��tall_.'._.'_ � <br /> _.c._._-___Numbcr o(persons in (amily � <br /> �J_____Number o(rooms in buildin �� � " " <br /> The preinises arc ln be used as a__/�-er�(�Lt�-)��.__..____ ' <br /> Theownero(thcpremisesis ____'__.___.__'_ ________ <br /> ___________.. <br /> Thc aKent is ._____-_..-_._____..._____ .. _. _ __.__'__ <br /> This applicatiun, althou�h signcA,shall no� be binding upon lhc Ci�y, until ac ' <br /> cepted by'Phc Superiniende (the 1Yn�cr U arlmenl. � <br /> :,.'::. ' ���{ � � � PPlicant I <br /> _._ _._ �___o..!' �`� <br /> -- - - - -------A <br /> i.crel��trd�'�-". �..._ . _14� �Hy_.�� � � .... . ....... ... <br /> ' / , ,�\ .iui^ri�ii.n:e..i <br /> i <br /> II <br /> JI <br />
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