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4629 EVERGREEN WAY 2016-01-01 MF Import
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4629 EVERGREEN WAY 2016-01-01 MF Import
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Last modified
2/9/2017 3:44:51 PM
Creation date
2/9/2017 3:44:45 PM
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Template:
Address Document
Street Name
EVERGREEN WAY
Street Number
4629
Imported From Microfiche
Yes
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t�7�9�v_q . - . . ..- �.,� '� <br /> `^"''_v 7-I -26 -�. <br /> u•.n.r•or�-�-isoo-s.r.co.-c-2c-za � . . <br /> City �f Everett�Wntei� Department <br /> APP��,ICATION FOR. WATER <br /> ;11I binnl;s must Ue filted in or crossed out <br /> �vcrcit�....,�t:�%:c.-`.............?:�.:.?...........1D2..ta <br /> 1'0 TIIE SUPERINT�A`DE\'�'jTY OP �V��I'.F.T1':D��A���`t�nT: � . <br /> I hr.reby nPP�Y for the use o[ �cater in ;�ccordance with the rules ond regu- <br /> Istions of the `.�'1ter Depnrtment, tor P��'P�`ca tmd fir.turc; sinted Uclow. <br /> . During thc timc thnt nnY of thc ��•:itcr nnins m1y l�c tnl:en up bY rmsun <br /> of nnp impracenrents audim�ized Uy the Cily o{ �cerett, in or of nny �Lrwt or <br /> nlley in �vhich they mny hnce been laid, the City will not Le required to furnisli <br /> wnter dm•ing th� progress o[ such imp�'���'emen[s to nny cmisumer whose suPP�Y <br /> , � may tlms Ue cut utf, or Uc liable Tfor nny damnges for its failure so to do. <br /> � ApPlicntion No..�/����..�.�..� � � <br /> - <br /> . ._..._......_...._....._.. <br /> L'lock..........�..�r...................._ Lot../.....-(�7......C. __.... Add... ... .. <br /> Na....����P'....� � _r%+.r..�.::�............Strcet <br /> . . .. .............. .. <br /> .. . . . ;. ,. ., ;- . <br /> .:.:..a.`.`....V.::.�...._�..............:...................................................... <br /> . ........... .........__....................... `> . <br /> 'Che �cork to Uc esecuted bY����t.��fL�'- � ��,����"""'���"""p�umber <br /> J —�_'�. <br /> Slntc sizc oY tnp. �,. <br /> . . �. ' � � . : � �, i <br /> ..��..::._Tnp to be inscrted in the m�in.� �. ' � �. ! � <br /> � � � ; <br /> - ..�.......R'nter closet . �� ue �, �:':':,, . . . <br /> , . , . ., ,..�._U .. <br /> . . - -......Bath C �' �� [�� /' �/I r:,�,: �, ; <br /> . ... .Jrinul �.: .� ....� .� .. .�_.. <br /> .....:�'.:.....Piain fnucc^ inside � <br /> .._..—:�....Sidc �vall: �vasher . <br /> ......�........lic�e bin oulsidc <br /> .._............I3osc bib for huililing purposes <br /> . ..,.,...-,,.Hose bib insidc <br /> � • .-- .Bib for staUle contnining..................:.stall.................... <br /> ............... <br /> ........:......Nn�iber o[ persone. in family <br /> • .....y....Nmnbcr of raams in building �I <br /> The Premiscs are tu Le used ns n..... _.U.�/�.,._�._/...�.(...�.................................... <br /> '1'lu owncr ot tlm nremises is...�7��.:(G��--�...����J`���=-���....... <br /> Thcagent is...................................................................................................................... � <br /> This aPplication, althuugn signed, shall not be binding upon thc City, until <br /> � occepted Uy the Superintend��rt f t �Vatyr�epnrtment. <br /> % <br /> Signed.�..���. ............ .:L.............. .......�....._._..... APPIic t .. <br /> Aceepted......L�...-.�` .�..._.19� By.. .�.� _�.. ....l�/.. ...... ...... .. <br /> % perintendent <br />
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