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3030 BROADWAY 2016-01-01 MF Import
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3030 BROADWAY 2016-01-01 MF Import
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Last modified
1/24/2017 3:58:13 AM
Creation date
1/24/2017 3:57:58 AM
Metadata
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Template:
Address Document
Street Name
BROADWAY
Street Number
3030
Imported From Microfiche
Yes
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• • �- :�-D� i- �r - z� t�.��.u._�-;l J_ - 'r� - -Y.. � , . , <br /> w.n.Fo��-:coo-r,.cco.—c.zc.z� <br /> City of Everett�Water Department <br /> APPLICATION FOR WATER <br /> All Llanks mu=t Lc filled in or crossed out <br /> t:�����,e.................��................_.........._�sz.L <br /> TO 7'IiF. SUPERINTCA'DENT (1P TIIF, R'A'[TR UfiPARTniGNT: <br />' CITY OP EVF.IIETT: <br /> I i;creby npplp Sor the u-c of u�ater in acem�d:<nce a•ith tlte tvles and regu- � <br /> I Intions of thc R'ater Uepaztment, :nr pmposes :wd fix'ures Ftated belav.'. <br /> During the time thnt nny ot the tt'�tcr �miins mny be tsken up by tcnson . <br /> of ::ny imp rocementx nulhorizeJ Up Lhe Cit}• oi Eeerett, in or of au}• atrcet nr <br /> r RIICy' in w•hich ihrp may heve Lcen ls�id, lhe City will nut be mqnired to furniFh <br /> iwuter durinti �he progress uf such improvemonts tu pny consumer a�hose suPP�Y <br /> msp thus be rut nTf, orr/bc liablc for e.ny dan:uges for its tailure ao to du. <br />' ApPlication To. A J. �, ...... . <br /> � '7. � _ :i __..� _ __ _. naa. .... _.__. _ _ _. <br /> h'oe��j l/...✓' �. /_��Gjf,c/-T-�-�-- . .F,treet <br />� . ..___._. .. ............ .......... _ _. ....... ._..... .._. . ........._.__. ., <br />� 7}�e work lo be executed b .. <br /> y .. ._�7.o•-tioie.�... .... .. ...Plumber <br /> State aize of tnp. <br /> ..�2...._Txp lo bc interted in the main. • <br /> ..�.�._.....R'nler closet �,I u._/- -. <br />� ......—... Beth . . � <br /> -- • <br /> � r <br />' ................Unnnl <br /> v <br /> _.7__..._Plein fnuect inside -, n t '- <br /> Side a�nik w�ashet � 'a �.i ' � �. ` <br />� . _.._... .....liuse Uib outside I��� � �� ��� � <br /> ...-..._.....I�use bib for building Purpoerv '�- , � " " �^'� ,. <br /> ._��i f �)i- i�i.'' � �� �' <br /> ..... .........Tlaee bib inside - <br /> ....__..._...IIib for ataLle containing......_!._.._.:..sCall.::::_::�. � <br /> _ ._._.......Numbcr of persona in faniilp ��� <br /> The rem�eex are to be used xs a.. �2tti?_� <br /> ......Number af rooma in bui;ding � <br /> �l . ..�' ._. .. . .�_ ... <br /> 1 __ <br /> �u�ner ot the p�ise9 �a .. .. .. . .. <br /> _. <br /> �-e ... .. . . . .. <br /> ...,,nt is.�. . . ..._... . ..._. ._._. <br /> � ...... ...... <br /> 'icct�cn, althuu�h �igned, :. nll not bc �iinding upon lhe C�ly, until <br /> �c SaperintenJc t the ntcp DeparlmenL. <br /> •neJ ���� �,L�L�.-_ <br /> X �-����_ _ __ Applicant <br /> __.�,.. _. .:�,�. B �. <br /> -� _ Y... ,: ?.. s.._./._ <br />� � . . ��u�tntena�nt_. . <br />
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