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3121 BROADWAY 2016-01-01 MF Import
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3121 BROADWAY 2016-01-01 MF Import
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Last modified
1/24/2017 4:22:22 AM
Creation date
1/24/2017 4:20:39 AM
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Address Document
Street Name
BROADWAY
Street Number
3121
Imported From Microfiche
Yes
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� . . <br /> _.�v:�.�,,.>:< ..�. : <br /> „_ <br /> i..m��'#r.'`c.u,J#;.*.�*�",a,"z33...s»..U.ce�rt s. ";N:sroR';x.s � ;::;-.. , , �'iF:'?f" �i . '...:'�'f4! <br /> f'I� '��`_: ;`j � � w.o.��s <br /> �'`;-i- : CITY OF EVERETT—WATER DEPARTMENT <br />` - �j° � APPLICATION FOR WATER <br /> r .� � <br /> �r � <br /> I � ,,,} �i..�' � � � . All blanks must be filled in or crossed out <br /> 41 � � <br /> . i . <br /> j � . � I <br /> �f-� , � Everett,...... .. � %�- .�..:J....�?.................19....._.. <br /> �� .. � �... : <br /> TO THE SUPERINTENDENT OF T2iE WATER DEPARTMENT: <br /> CITY OF EVERETT: <br /> I heteby apply for the use of water in accordance with the rules and regu- <br /> ]ations of the Water Department, for pm�poses and fixtures stated below. <br /> During ihe time thal any of thc water mains may be taken up by reason <br /> of any improcemenis aulhorized hy thc City of Evemtt, in or of any strect or <br /> alley in which they may have been laid,thc Cily will not be required to furtush <br /> water during lhe ptogress of such improvemenls to any consumer whose sup- <br /> ply may thus be cut otfp, or be liable tor any damages tor its failure so to do. <br /> ,J ��� <br /> Application No./......./......... .............. . <br />- Slock....�..o�..............................Lot........................................ A.id........................................... <br /> No........_'3!..�.�..�._./� ' i!...':.:✓.,e..�:-.a..t. ..... Strcet <br /> I �. � �7/ <br /> .................................... ../.....':i..xt......�.rEt: . .... ............ <br /> The work to be executed by.......................................................................Plumber <br /> i Slat�/size of tap. <br /> I <br /> ; . . ..........Tap to be inserted in the main. <br /> �. .. <br /> '�, ................Water closet /p�-tJ .` <br /> ................Balh ['y `� i : i,j <br /> ................Urinal � ',. � /ll<.r <br /> ................Plain fauret i.,s;a� � 3s,�- <br /> . ;,,���� ,� <br /> ........._.....Side walk washer �- <br /> ......._._....Hose bib outside . , �y,reiL <br /> ..__.__.....Hose bib for building purposes ' <br /> rC�•T, /°� <br /> ......_..._...Hose bib inside �'.::�;��. <br /> ................Bib for stable containing....................stall.................... <br /> ................Number of persons in family � <br /> ................Number of rooms in building � <br /> The Premises are to be used as a................................................................................ <br /> The owner of the premises is........................................................................................ <br /> TScaBent is..............................................._.._............................_.................................. � <br /> This application, although3iSnCd, shall not be binding the City, until <br /> accepted by the Superi2lenden f�the Water Depar . <br /> G_- —. / / �/� /� <br /> SiBned_.E�:��.�.-L.,.�—.-..........�.•� ._r�:..... ::[:.rC..�Applicant <br /> A�cepled............................................19._..... By................................................................../ <br /> Superintendent. <br /> ::;.�2� . ... . <br />
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