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3020 BROADWAY 2018-01-02 MF Import
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3020 BROADWAY 2018-01-02 MF Import
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Last modified
2/17/2021 3:29:51 PM
Creation date
1/24/2017 3:42:22 AM
Metadata
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Template:
Address Document
Street Name
BROADWAY
Street Number
3020
Imported From Microfiche
Yes
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-�-�. .,.� � .. , 7 "'�.n�(� . . .. tiuJ=.;d iG � ..- . "�r.. 1�1 - <br /> l4'�P.Pnrm 4,-ISUn—E.P.Co.—G.2GS1 • � <br /> Ci�y of Everert--�Watei� Depai�tinent <br /> APPLICA'T�I�N FOR WATER <br /> All Llanlcs must be fiiled in or crossed out <br /> E�•ere[t...........................,..._/O�`.-''�.....�.�......:........192b.. <br /> PO TAP SUP"r.RINTENDENT OI' TI{F. \VATF.P, ll13PART➢IENT: <br /> CITY OP EVCRI'sTT: <br /> I hereby upply for the use of watcr in accordance�sith the rules nnd regu- <br /> Intions ol the Nater Department, for purpunes and fix'urea stnted below. <br /> During the time that uny at the ���ater mnins mny be luken ury by renaon <br /> of nny improvements authorized by thc City of Ecerett, in or of nny nLrcet or <br /> nlley in whirh they may hace Leen ]aid, tLa City will nut Ue required to turnisli <br /> watcr dw�iug U�u praqress of such impro��emimta to nny consumer whose suPP�Y <br /> may thu; be cut off, or bc linble for :;ng daini�ges for its failure so to do. <br /> - .4pplication No.............�...a.r....�.�,..�......... <br /> 131ock...............� ......_.... <br /> �.. �....... ....... Lot..................._............._.... Add....................._.. . .... <br /> Va....... �.0 . ......_ ..__._. .._........_.....__...... .._�..$tteet . <br /> .... ................... <br /> 11ic �vorlc tu Ue executed by......._.............._.. .. .... ...................._ .....Plumber <br /> n . -ki �C`�o-�-� l�'�yh-Q <br /> Statc sizc of tnp. . V ` <br /> ..�u..�.�...Tap to be inser:ed�in' l"he,,main. '��� ' <br /> . . . ..Nnter closet `-�-�-�' Q�n`�-�'Ke-� ��.`,�,�,,��.���� <br /> ................Bath . � ' ""�n� <br /> ................Urinnl <br /> ................Plain fnucet inside <br /> ................Side walk �casher �. <br /> ...............Iioee bib outside . <br /> ................Iiose bib for buildiug �iurpones <br /> ................ETose bib ineidc <br /> ................Bib for at¢ble contnining....................stall.................... <br /> ................A'umber of pereons in fumily <br /> ........:.......Number of roome in build`i,�g e —�-T <br /> ,��� � The premises nre to 6e used as �...,?-�-�V�../ ..�-{,,,�.�1�-�.�„� <br /> p .. <br /> ` The owner of the premises ie.I..�.�.q��u�Q, �� ��4 Q-0 <br /> Thcngeut is.........................................Q................................. . .�............................... <br /> . <br /> � . . This aPPlication, although signed, �hnll not be binding upan Lhe CICy, until <br /> accepted by the Superintendcnt o tho \Vnter D�epnlrhnent. � <br /> � S3gt�ed. ......... ......../�-�+.vl/,�..k?..^.W?V.�"�.�li� <br /> .... . <br /> t <br /> Accepted......................................192..... Dy. ...........' *'�V- ���......� <br /> . . ... ....................... <br /> '6 -22 z / ����� ntendetrt` <br /> L <br />
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