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4712 BLACK FOREST LN 2016-01-01 MF Import
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4712 BLACK FOREST LN 2016-01-01 MF Import
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Last modified
1/30/2017 7:01:07 AM
Creation date
1/30/2017 7:00:28 AM
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Address Document
Street Name
BLACK FOREST LN
Street Number
4712
Imported From Microfiche
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i <br /> I ' <br /> � <br /> I 1 <br /> i <br />� <br />� <br /> I' � <br /> i <br /> City of EvereM—v�7ater Dept. I <br /> TURN ON ORDER �� 52�25 <br />, 3 — �� c� —�i/ <br /> . - <br /> TAP No�_...:' .. ....._... �. <br /> ��a,t��-�� , � J �� � <br /> __..._..<::.:�.<-... ..._. _......__ ____iss..__ , <br /> Subject to your regular,rules a�d regusations, please �n on the water � <br /> � / J-. .�,G�.l'„ .li >�-�:a..t.7` . /7�-,--�-- . . Street <br /> at ....... ..._....�."�: ._.....:.:-�-.__..._c._._......._._ ..._. ........... <br />' ................_..__._...._... <br /> Last tenant was............__._....._._.........._.... Owner or Agent is........_..__.............__........_.... <br /> Water rates will be paid by rJ _._� l ' <br /> �i�..c,�` ::,,c9/'-�.il'�-► .... I <br /> Signed} .._. �,. �" _____ ._. ... <br /> CASHIER'S RECORD Above application is approved <br /> . � ... ' _"_.. . <br /> Remarks.-::.-�. � ..____ .__.._ _..._ __. <br /> Tap No.._ __Amount Due$ ...._..._ � <br /> __._...... .......... .._.__ . .._... <br /> Tap No..__..._Amount Due$.. .. ..._..... Used water at _.._....._._.Tap Na ___ i <br />' ___._... �"7""'c��._ ............_Cashier . . ............ _...._.____.._...Superintendent ' <br /> INSPECTOR'S�RECORD � <br /> Inspected and tm�ns3 on._..._....__......................196._.__ I <br />� Class of Building__. ......... __..___ __._... ......___. __.__.._.... ..._._...__ � <br /> ILocation stoP and waste.___. . ......__ _._. .. _ ........__.. . ..... .___._ ' <br /> Water closet, privatie or publ�c .-___._..... ._... .._.._Batli tubs, private or public <br /> _._...._. . ........._......__-Urinals ....... _...._. .._.___Outside hose bibs ....__._ _....._ . <br /> I: <br /> Plain b�bs.._._....__.._.... Barber Chair�._. _ . . __.. Horses__...... ...__. Cnws.. .__.. .. <br /> I� H.P.Boilers....__......_ ........._Rooms___ ...._. __.. Water Motors._......_... ._..__. <br />' Fire Plugs.____.__.__._......._.....______._. <br />'. . Charge for water begins on.._.__..._.._.......___._. ._ _..196___.. , <br /> Remarks _..__.._ ._._.... .__. _. .._. _.. ._.........__.. .._.____..__ ....___. <br /> ..._. _..__.._.....__ _..._..... ... ..__._._ ........_ ...._....__.... . . ...._.._... ........... <br />• _..__ ___._..__ _ ._.....__.. . . ...._.... .._._....... __..._._ ..._._._ .. ....._.. 1 <br /> _ ___.__ ..:..._.. ._ . _..___. __._ . _._...__ ._......Inspecto� <br /> 3CCOT7NTING —��---�------ �— —��— <br /> � DEPARTMENT Rate. ._.._..._..Entered.. __......__ ..___._.._.196....... <br /> Block ____ . ..._ Lot_ _......__.... TaA Na _..__. ..._..._.._._. .......... <br /> . �g _...__. ._._._... . .. ...... ...._.._._.._ ._......_.. __.�ashier <br /> I <br /> II <br />
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