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3102 BROADWAY 2018-01-02 MF Import
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3102 BROADWAY 2018-01-02 MF Import
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Last modified
12/19/2019 2:42:35 PM
Creation date
1/24/2017 4:01:27 AM
Metadata
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Template:
Address Document
Street Name
BROADWAY
Street Number
3102
Imported From Microfiche
Yes
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{ <br /> ; <br /> I <br /> � <br /> � <br /> � <br /> � <br /> J� , � <br /> 11'.U.]'��:c:1 -1e00—E.P.L'a—u._624 � " <br /> • i. <br /> City of Everett--�Watei� Depai•tmen�t � <br /> APPLICATION FOR WATER � <br /> All blanks nmst Lc tilled in or crosscd out <br /> ��-erclt................................/../�..........................19_.�..G <br /> PO TIIE SUPEIIINTLNDENT OF THF N.4TFR DEPAP.TDSEh:: <br /> CITY OF EVEI2LTT: <br /> i hereby app.y- for the ���e of waicr in ncccrdance�cilh Lhe tvles and re��- <br /> Iatiuna of the :S'ater Dcpartment, for purpo=_es nnd fix�.ures stated bclow. <br /> Durin� the time that any of thc waler maine may be tnken up by reason <br /> of �ny in:pro��emmis authorized by Lhe City of �verett, in or ef any etreet or <br /> alley in µ�liich ihey m�y ha�-e been la'rd, tlie City �vill not be mGuired :o furnieh <br /> wnter duiin�; the Progresa of eurh imvmvemente to any consumer whosc suPP�Y <br /> may tl�us Le cut nff, or be liable for ��my damnges for ila fuilnre so to do. <br /> Appliculion No..........._...�..�_.............. <br /> Blod ....p ... I.ot . .. .. . ..._ Add ..... . . . _ ._._ . .. <br /> No..�-0.�6...V .. ♦ ... . 3treet <br /> l <br /> _..'���..�.�;'.g'..:. t�i�JC2'- � . . <br /> . . ....... .... . ....... ....... i <br /> Tne wm�k to bc executed 6y........._ . -_._.. . . _... .__.__ . ..Plumber <br /> ' hStaLe eize of tap. 3 �...is� - <br /> �`.��..........TaP to be inaerted in the ninin. yv/6 0� <br /> ................Nater doset � ��` P�t� '�`"�� <br /> '� ................Bath 3 1�u � � <br />' ................Urinal lQ�. ��.5�7 G <br />. . ................Plnin faucet inside� '- p ��g�' / — <br /> �. ................Sidc n•nik wnshcr <br />' �� ................I�Ioee bib outside � . <br /> � ', ..............Hose Lib for building purposce . � '� �� ""`":.�' ";a:�` <br /> �� .............._Hose bib insidc � . <br /> I� ................Bib for steble rnntsining.......... ../.slall...:................ <br /> ................A'umber of persona in fnmily • <br /> .� ., • -,� .... ..........._.NumUer of rooma in buildi• � ' <br /> �� x�'"� �''u � - The Premises arc to Ue used ns a..��•�� ......... � ... ....C.` <br /> rs � 4 `' � " � " � P1 <br /> �� ��� '. >�, � . .. � ' The owner of the prer.iises is�i.�8-.�.¢��+-�-/ 9.`..'�*-�.. �`�-c�+-�-5 <br /> y � ,. ,�d;, � �, � '... .� ,I The ngent is....... _.. . .. . . ....... .. ........ <br /> x , � .. _ ... .. . ....... . <br /> • "f ' - ' Thie npplicatian, allhough si »ed shnll not bc yyymding upan the City, vntil <br /> ' �,�K� i ,� , . � ��� .ted by the Superintend i the ntcr PenaS�tment. <br /> ./i <br /> �� . " � � � Signed.. .. . . .. _ _��. ..._ . . pplicant� <br /> �- , . . . . _... . <br /> . '.. <br /> .;. �,s . � � Accepted....�-�.' . ....193J�.O IIY�� . _. _. _ .......... <br /> �'�' �, ;. � - �� ermtendent <br /> ��'a'v. ., � <br /> . . ._ .. ... �f'rit''. , .. <br />
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