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3705 BROADWAY 2016-01-01 MF Import
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3705 BROADWAY 2016-01-01 MF Import
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Last modified
1/24/2017 7:20:57 AM
Creation date
1/24/2017 7:20:42 AM
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Address Document
Street Name
BROADWAY
Street Number
3705
Imported From Microfiche
Yes
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. . _ _ • `� <br /> _. . . - . ��vrn- �- _ . - . <br /> W. D. Pcrm 4 ISGO �-1�1>C.P. <br /> "" CITV OF EVERETT�=Waier Department <br /> Application fo�r Water <br /> All hlanks must be filleA in or ir�sscA�.ut <br /> Eerrett. _ ��z./,L,ve,eL_`�.L.. .__.__.__.191=�T-:. <br /> . � <br /> TO TH E SUPERIVTBNUB\T OI�TfIfi NATER OEPHRTMBTT. <br /> CII'Y OP E`%ERETT: <br /> 1 hercby apply (nr the use of water in accordancc with the iLles nnd regula- <br /> ti��as o! Th^ �ti'atcr Departin�nt, {ur purposes and fixWrc.stated Lelou�. <br /> DurinQ the limc Ihat any of the watcr mains mzy be taken up Uy reawn o! <br /> any imnrorements authorized by l�ir City��(Ecerelq in or o( ar.y street ��r :.Ilry in <br /> �rhich they mey have Lecn laid, thc City e�ill not be re4uired t��(mnish watcr during <br /> the prngress o(euch improcements in any mnsumer u�huse supply may thus br cut <br />� ��((. or be liablc for a�ry dnmages for its failure w�m dn. <br /> Applicminn Nu._L.�'j-� /�-'--'—' <br /> Nlnck � ._._Loi__:�;__-.� ._�1dd -.._ __.___'..__-' <br /> _._ac_f--_ . v� �___.._. <br /> Nn.___'�_7_G- S�-_I,z-(.{(*✓--�-1'_'_._.Strcet <br /> ___J <br /> ___._ <br /> ___ <br /> . ____.___._.._-/__. ___.__..._"______.________" . <br /> '-��,fhewnrktnberzecutedb5'_--�1�-�3-.. �.vii✓4 --__--_ Plumber <br /> titata sizc o(tap. <br /> ._��T_--_Tap[o bc imrrled in thc main. <br /> -..�.__.__Watcr doset -. . : <br /> � ..: <br /> —J.'---.Rath <br /> __J�_'_ .Urinal <br /> _'�___Ylain faucet insidc <br /> _.._�_.___5ide walk e�axhcr <br /> _._ � ._.._H�rsc bib outsidc .. 1 <br /> _1.� � <br /> __"q_'.__Hose bib forbuilding purpn�es <br /> .._.� Hnec bib insidc (((���'''```��� <br /> ___ \\\ ''' _ . , <br /> ._' - 6i6(�'�ta�lecontnining._____../,�l�l-.---'---' <br /> __� _' • . �. persons in tamily ( , �`� <br /> _._/-�____.17umoer ot m��ms in builJing <br /> / � � ^ <br /> 'fhe premises are tn bc usrJ as a___ .''Y�/f---. ...—"---"'—'- ----" <br /> _ /__ <br /> '1'heownero(thepremisesis _._' . ��.� .!t-i-�-j�s.��'�-----'--'- <br /> TheaKentis '___'____. __'_.__'____" .. _. ._.____"'_. .___"__'__ <br /> This applicalinn,although signed,shall nul be bindin�upnn [he Cily, until ac- <br /> reptcd Ar'Phe Superimendenl of th eter D�c flin�v,�` <br /> Si�;ned ..__'_C.�_ �_'l-«-I'���'7i`-a��vrl��i �APPlicant <br /> Acccpled ll�y��-,�-�� 6 .ndr.i �� <br /> '� ',�S.i, r���' '_'__ <br />
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