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2427 BROADWAY 2016-01-01 MF Import
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2427 BROADWAY 2016-01-01 MF Import
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Last modified
4/28/2017 7:51:33 AM
Creation date
1/24/2017 1:57:25 AM
Metadata
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Template:
Address Document
Street Name
BROADWAY
Street Number
2427
Imported From Microfiche
Yes
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�_ ,,.. _ : 1 �, �- � -�� ^'IJ �r7"✓( <br />W.'�J.FoTi6t-1G00—EP.Co.—b�2i-YI . � � ' <br />City o� Everett�Water Department <br />�PI�LICATION FOR ��ATER <br />All blanks must 6e filled in or crossed ou/L <br />�verctt,.�.l:.._`�-: -<-: � �/7 � � �/-...........132...J.�.. <br />.�..... <br />TO 1'IiE SUPERIN^_'GNllEftT OF TIiE 1i'ATER EPARTr1L\T: <br />CITY OF EVERETT: <br />t herehy nPp:)' for the ese o; n�aler in accordance �rith the rvles nnd regu- <br />lutions of the Nat.r Departmcnt, for puePosca and fix'.urc� statcd Uel��s. <br />Dm�ing thc timc thnt any of thc �vatcr mnin, mny bc t.,l ^^. up by rcanon <br />of nny improcemen's auqiorizcd by the City of EcerMt, m or of any �lreet or <br />allcy in whirh they may linre been ]aid, the City will not be rc�uired to i:rniah <br />mater during the P��ogress of nuch improcemonla to nny conxumer wliose auPP�Y <br />may thus Ue cut of+, or jx ]inble fo� any dnmoges fm� its failure so lo do. <br />APplicalion No......(P C �-' <br />..... .................. <br />�L�' i'. <br />IIlock......:............:�........... Lot-..../......._.,..'._._........___. Add........._........._._............_... <br />No.... ��. �.. _....... _ _..�.�%�C�/. «�'.....gtrett <br />. _........_... .._...._ . . . .._ _.. . ........ . ...................... <br />. � <br />T6e vr��k to be execuLed by._.. G� 1 .... . P/lu�mber <br />Stnte size of tnp. /�..� .. %.r�- p�. ir-(/! Q. �' a�0 <br />�/ / U <br />...%?-......Tnp to Uc inscrted in tAc mnin. <br />......�........R'nter � laset <br />......1........ II a t } � <br />......-.::.......Urinal j <br />....�........Plnin faucet inside <br />......::�.......Side wnik washer � <br />....�..........Ho:e bib outside <br />...-.-.......Fiase bib for Uuildin�; purposes <br />.....-........IIo�e bib ineid� <br />.........-.......Bib for staUle containing ....................elall.................... <br />.. � ..Numbcr of persons in family <br />... ........ <br />..�....Number of raoms in building <br />The premises ¢re to be used as a.......... . .�i . ............ . . .. .. . <br />.. _. .. . .. . _ . . .. ..... ..... . .. . .. ..... <br />The o�vner of the premiee��j�_'.: ... . ..._. ._ . ... .. <br />.. ................ .. ... <br />Tliengent is.....,...._..._._ .......................__.................................... ................................ <br />TI. a applicntion, allhuvqh signed, 3hnll not be binding vpon Lhc Citq, until <br />accepled by the Superintende2t of L�e Wnter Department. <br />
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