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4504 BROADWAY 2018-01-02 MF Import
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4504 BROADWAY 2018-01-02 MF Import
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Last modified
12/20/2019 9:29:52 AM
Creation date
1/24/2017 8:50:44 AM
Metadata
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Template:
Address Document
Street Name
BROADWAY
Street Number
4504
Imported From Microfiche
Yes
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� <br /> �-:>a_•.� .._ �� _ , „ <br /> �, _ <br /> - � � � � , <br /> . V:.Ir 1-.,���n�- 1G00—EP.Cu��26.0 ' A <br /> City of Everett�-Water Department y <br /> .� <br /> APPLICF�TION FOR WA.TER J <br /> .q11 Llr.��ks mttet be filled in �or tios��ed out 1 <br /> �—�- <br /> rZ.�........79�..� <br /> Siverett................_..........._ ._ .... . , <br /> TU 71f7S :..:1`i�1:RIS7'I;NllEN�� OF EVERCT'T: �rAlt IF.RT: � <br /> I hereby app:y fur the uoe ut water in necordance u�ith the rules and rega- I <br /> L•�lione of the Water Uepertment, for Pu�Pusen and fixtorea etaled belbw.r�B� <br /> During the time that eny o[ the water meine mey be teken np S <br /> ,�( nny improvements euthorized Ly Lhe Citq ot Lverett, in or u{ nny etreet or I <br /> `:il�ler�dori��htheepr grey eenf soch iinla`h�ents to�eny concunu r'e j�to fuui I Y <br /> m:.y thue Le cut ofi, ot be Yiab] tor any damegea for ite teilurc =�, tu do. 1 <br /> � � <br /> ppplieetion No...........9.d..�...�.�............ � <br /> _.... Lot..... .. Add...._ . � <br /> I:luek.......�........_ _.............. <br /> .. .....�...._..8�� '} �t7 <br /> ,.o.._._ .._. . . <br /> . _. ....__ .. <br /> ._.c+!Yf�lcinn�*.................................. <br /> ._....._.. .. . . . . � <br /> __.. <br /> � � <br /> _ _ . ... <br /> _........_ . ..._.r�1111� in( <br /> The work to be etecuted by ---- - -- - <br /> State size of 1eP• �'. <br /> ,.� rr <br /> -:........Tep to be i�erted Sn the mein. � <br /> ................YVeler eloeet 3l1'�J� . �r.j <br /> ................Batfi �'t� �0 . '�/_�'Xf'' "., li <br /> ...............Udne] V�' 1 A' <br /> �...............Plain faucet ineide � r <br />' .. ............6ide welk wesher (�� <br /> ��' ,/. <br /> ..._....._...Hoee bib ontelde �/ � . .:.i� <br /> �� i/ _; � <br /> ...Aose bib for buildin6 P��'POReA 1 /� , ' <br /> ..._ ...._ ,!- o.� . <br /> . _.,......Aoee bib ineide � '��" " <br />� I sill <br /> .. .............Bib fot etuble conteining....................s .. <br /> ................Number ot penone fn famlly <br /> ................Nomber of roome in buildin0, <br /> �e Premieee are to be need ae e._........ ...._. .. . � � � �� � � � � <br /> emieen in...._..._ _. _... ._..............__......._. .. <br /> The owner of tfie pr ..--..... ....... . <br /> _�., . .... ................ .. . <br /> .......____. . . . � <br /> .. <br /> The egent le................._................. .. � � �he CitY. untii <br /> Tfiin aPP��cntion, elthovgh aignPd, nhell not Lr �11�� <br /> �;:�pLed by the Superintendent ot the Water Pri � <br /> ne���> <br /> I � ' � Signed � 7 7�9 'f'" -. .._ . pP cnnt <br /> A li <br /> __ . , <br /> C/� ...r, de • . <br /> � _ <br />'I Aceepted. . .. _. . ._]92. _ � iiY � ). ./....... / -��U .�jendent <br /> I � 2fJ '�9P — �!/�,��f�;� o <br /> _ � <br /> :i. <br />
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