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3711 BROADWAY 2016-01-01 MF Import
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3711 BROADWAY 2016-01-01 MF Import
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Last modified
1/24/2017 7:28:04 AM
Creation date
1/24/2017 7:27:42 AM
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Address Document
Street Name
BROADWAY
Street Number
3711
Imported From Microfiche
Yes
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�.4e: i. i}:: <br /> .... y�,..,;p�. <br /> ;�., <br /> W. D. Fcrm t ISGO J�1-17 C.F. • <br /> ClTY OF EVERETT==«�ater Department <br /> Ap�plrcation for Water <br /> � <br /> All hlnnks must be llled in or crossed�mt . <br /> Evcrelt.- ( _ .s-�t.� � __".___791.3u_ � � �. , � <br /> 'I'() TIiH SUPh:RINTENUGtiI'O THE WATEIL llL•'I'ARTT1ENT, T .: "' r �y F'�h'4 =";" j{ � <br /> C17'l' ()�FYLkETT: t �'.:. F� '��u� n '-�� z�. <br /> i hereby apply fnr the use o(u�ater in ocrnrdance w'ith �he niles and regula� r��t '��5�'��' ^, , <br /> tiu:ii af �fhe �Vatcr Uepartmrnl, for purposez and fiztures stateA below. � - � - � - -� ' � ' '� � <br /> During [he time �hat ar.y of thc n'ater mains may be taken up by rcason o( � � � <br /> :my imprnvements authorizcd br thc Cin�of Hvc:ett,in or of nny s�rcet ��r allry in -� <br /> which thry may havc heen laid, thc City will nut be required to lurnish water durin� <br /> " the prouress o(such imOrovemcnts to any consnmer w�hose supply may thus be cut <br /> Nf, nr bc liablc tor any damaQcs/for its (ailwr w to do. . <br /> A9p1 irntinn No.'7_y_�'Y'___'_' <br /> 19I�xk _--�-`ZJ- -----y-�Lnt.-.? —� �------.-'-Add---------'- � <br /> ,/ � ---_' <br /> \o._'___3_�.�'.--l-l�tl--r-��______.Strect <br /> .__......___"_ . _______'.. _.;_�.`_/._.'_______ ______ _"'_'__._' '."_'__ . <br /> ��' .i'he wo�k l0 4c executed 63'---- t=6-'R�� -�--�--.- PlumSrr <br /> Statc tiize uf tap. � <br /> __"!�ztra�i�nr'��•�c�a in IFe main. � �.� <br /> __�' "_Walcrcln�rl � :,' <br /> , � �i j 7 <br /> —< .. ts,ih <br /> _'X_" .Urina: , <br /> __'-___.--Plain fnuccl insidc <br /> ...,�_____Side w�alk aashrr <br /> __,�__-'._Hose bib oulside <br /> __X'____Hnse�ib for bu ildinp purpusc:�. <br /> ___.. <br /> Hosc bib incide ''� <br /> -' '. _..i3ib(orstablecontaining___ �--ystall.'.._._" <br /> ___�'.._'_.Numbcr of persnns in tamilY��'. <br /> '//i <br /> __.L{____Numbcr of rnoms m buildw�[' <br /> � . <br /> Thepremisesarctnbeusedasa._.. J�.G/—J"7�'___".._____________ __._'. <br /> 7'he nw�cr o(Nc prrmicrs is ...__.�.i.-1,Z�. r��.p_��'__.".____' <br /> . . 'I'hcaHen[ is _"'___-____________________ '______.____""".____'____.__ <br /> "I'his application,althouKh signed,shall not bc binding upon tF,c Cily, until ao <br /> cepted by The Superintendcnt o!lhc\Vet �/p�i`ifient. <br /> Siuncd ._�_"___../_1 fY!_`//���'�.>.�.,/ .. _�A licant\ <br /> / ' � PP ` <br /> Accepted..((j.'�10='�4?T—� 13y. .. �'�� t <br /> SnCetlntenCeN v <br />
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