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2801 BROADWAY 2016-01-01 MF Import
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2801 BROADWAY 2016-01-01 MF Import
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Last modified
1/24/2017 2:55:38 AM
Creation date
1/24/2017 2:55:32 AM
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Address Document
Street Name
BROADWAY
Street Number
2801
Imported From Microfiche
Yes
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�<.ctd ,-='---"_.r uti•-i �- Y �T!-�� <br /> .W.b.Forq�=160(-F{`.Cu.-;�.y6-:1 � y <br /> Cit1� of Everett^-Water Departinent <br /> �.PP�.,ICATIQN �OR �TATER <br /> All Llanks must be fiiled in or crossed oot <br /> Everett,.._......................................../ ......(..............__..19?�..... <br /> TO TIiE SUPERINT�NDE�TT OF TIiE \VATFR DEPAR riENT: <br /> CITY OF EVERETT: <br /> I hereby apply for 24c nse of waLer in accerdance with the rcles and regu- <br /> lations of the Weter Departmeut, for purposes nnd fix:ures stated bclow. <br /> During the time Lhat any of the water mains may be taken �p Ly rcasoa <br /> of any improcemcnls nuthorized by the City of Ecerett, in or ot nny slreet or <br /> ¢lley ir. whic]i they may ha��e bcen laid, the City a•ill not h� required to furnish <br /> a•ater during the progress of such impra��ements Lo any consumer �v5ose supply <br /> m�y thus be cut off,ot Ue liable fo4r any dnmages for its fuilure so to do. <br /> Apptication No..........�.9�./......._ <br /> Block......._....�o.�_.�.-l.c...... Lot........�.........................._... Add._.............._. ._................. <br /> No.._z..g D.....J_..__��—.`c.cr-�-a(.w� / <br /> __ _..�- .......... ..............._..._........ .... __.............. ..... _ ....._...._................... <br /> The work to be executed by........... ....__ _ .......__.......... _. ................_F7umber <br /> State eize oY tap. <br /> �..��.........Tap to Ue inserted in the mnin. � �� I <br /> �: <br /> ��........_......Nater doset � � . : <br /> 1Y ' <br /> -...............B8t�1 1,,wY /1 1 /�--.. `�, � <br /> -_.........ULIIIII� • ~, � ' r,, '• \K <br /> �, ���� �9 / �' { , <br /> �� . Plain faucet inside ^ J a // <br /> ............... <br /> —._—:-.Side tr•alk �vnshcr �F F�'t'R � ,o��`� � <br /> .. .... r:� �7 <br /> - .Hose bib outside •.."`�+.....,, wA R DFp'� ' ' <br /> ..............Aose bib for building purpoacs �'`'^�..,,,,. <br /> �---- ...... <br /> .............._Hosc bib insidc <br /> ....`..'-:�iib for ctaLle containing....................etall.......... <br /> .......... <br /> ':........—Number of persons in family <br /> ................NumUer of roome in build'��, , „ <br /> Tl�e P�'emisea are to be vsed as a��RJI.S..��_..��J � p <br /> The owner of the niec i ._ .. .... . ........ .e'-�,-�-'�*'................. <br /> , ��. ..�..:........ <br /> _... <br /> _. <br /> . . The ngent is............................. ...................................................................................... <br /> �fhie npplicatton, although si�ned, .hall not be bindir.g upon thu City, vnt{I <br /> •��•pted by the Supertntc cnt of th�lyatcr Depnrtment. <br /> � <br /> /7 .0 <br /> Signed..... ...... ........[„�yl. .. ... ��(,.....� plice t <br /> / ........... <br /> ..... .. . y <br /> � .../..:....�....—.......19� DY--.... .,�Yl.�P,C..�. ._i!� . <br /> ..... .� .. ... <br /> etin t <br />
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