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1021 N BROADWAY 2018-01-01 MF Import
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1021 N BROADWAY 2018-01-01 MF Import
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Last modified
12/4/2018 10:10:48 AM
Creation date
1/24/2017 12:14:05 PM
Metadata
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Template:
Address Document
Street Name
N BROADWAY
Street Number
1021
Imported From Microfiche
Yes
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�. . '- H �, - i . ' <br />l _.. , . ' 1 .. J,. <br />It li I'.�:n•. 1:. �� 1:J• i i,.- :� lf� :1 . . <br />City of Everett�--Water Department <br />r,PPLICATION FOR WATER. <br />All binnka muxt Lc filled in or crunsed out <br />RverMt�........__.....�„ .r.�........_ ................._................102�{,.. <br />v <br />TO TIIF. SUI`GRINTF.NUiiNCITY OP I:VF. 21 TT:D}�PARTil1ENT: <br />1 I:rirbp npply fnr lhc u�e nf �vnlrr in .�rrerd:mre �xith thc rulrs nnd tegu• <br />lutions of thu Nnter D��pnrlment, tar pm�pa�ex nnd fixtures PI��C(I IICIOW. <br />During lhc lime thnt nnp of �he �anler ronins mny be tnken up �Y imeon <br />o[ imy in', irneeinents nuthurized Ly lhe Cih• n[ I:��i�rett, in or ot nny xtrret nr <br />nllry in x��deh �hry mny hnee bcen laid, lhe Cily will not be rcquired lo furninh <br />wntcr dw�in� the Prugrese ��f xuch improermrnle to nny cunxumrr �ehosc eupplY <br />mny thus Lr cut of[, o�b � linbir Car nny dnnm6�s for iln Inilure no to Jo, <br />Applirnlion No.. .�U .y' ^ <br />..... ..._.._._ .... <br />Dloik � ,.,/ .. _.... I.ot __.... ._._ ... Add.__..... . ._. . ... <br />Na .El..r�_." —u .�'�"`^..` .�.�.L .. . ._.Btreet I ��.1._Ic�'`.� � t � �f' � <br />� U <br />..._ _ ............ ....._.__....._............ ....._.._... .__._.'--..........___..._.._.. <br />Thc �t•nrk lo Le executed bY..-. . ���� � . .. -.-....--.--- -..........PlumUcr <br />y ;, r <br />:�ln'. slLe 0: lOf). � <br />� '/ <br />.._ ...7..-Tnp to be inaerleJ � the mnin. �� <br />__ ._.....R'a�cr closet <br />...... ... .....Beth <br />......__......Urinol <br />..............Plnin tnucet ineidc <br />.__....._._.Sidc wnik e•nshrr <br />.__...........Hoee bib oulside <br />............._Hose hiU tor buildin6 pm'pnsrs <br />.._._........11ose bib 1nFide <br />...............Bib for etaLle contnining....................elnll................_. <br />..........._..Numb�r of pereone In fnmiiy <br />................Number �f roome in 6uilding � <br />The premfacn ure !o be uecd ae e �t-.v1r�-c--s—.'- �Q '+.� <br />The owncr of lhe premises ts._._ _. _ _ . .. .... . ....._...... ...............__ _. <br />Thengent 19........_......_.._......_........... _._ _....._...__.. _ ..................__._.............__.. <br />Thin npplicnlion, nllhougL aiFnrd, nhn0 not be Uinding upon tfie City, unti� <br />aceepted by Lhe Superin ��y�c�t nLj he�5y' -•�'r Pje �nrtment. <br />S igned..'1yl �...1... '...Cf.%. "_.._ _ ""_-"� �.... .. .. _...... _ _..Applicnnt <br />Arcepled.._ 1.-...�._._..._.ID2.�.. DY.. n _ �t%' ..... ......... <br />�� petinlendent l <br />
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