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3021 FEDERAL AVE 2018-01-02 MF Import
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3021 FEDERAL AVE 2018-01-02 MF Import
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Last modified
2/4/2022 12:44:10 PM
Creation date
2/10/2017 3:45:15 PM
Metadata
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Template:
Address Document
Street Name
FEDERAL AVE
Street Number
3021
Imported From Microfiche
Yes
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APPU 'LION FOR <br />'w 1 <br />All bI <br />lks must be filled in or crossed out. <br />}} <br />..... / Add............ Applica Ill �To". �./.. <br />Np................. ,�2 <br />.......Street 1;rerett, //�/ <br />TO pill,, SUIT? It. OR THE 1 VEUTT WATER COMPANY: 190.. <br />I hcrebp � <br />Reply for be Ilse of Ivnter in acrordauco tvitb ill, rules and rcg <br />nh;tim" of 'lie lirerct.t. Witter Cmnp;uly, for the purposes unitIlxLuresstated <br />, <br />.' bolor. <br />l;�r-the limp that any of the Cotnpnuy's amine may be taken :Ip by ren- <br />son of sny improcrolcIlts authorized by the City of Idverett, in or of Ilily street <br />er Rlley iu %cbieb they may bate been laid, lbe Cougmny wi <br />hurull not be required toisl: water pr^Cress of sttell inl prorelaent-s to any consumer whose sup• <br />pl}' mac lbws be cut all. or be liable for 1111 dnnmges for its failure so to do• <br />Tbn port: to be, esea;ted by..." <br />still(. size of Gyl. / "-....., <br />......................... Plumber. <br />_ <br />/.... 1'Rp to be inserted in tie main. <br />...\Voter closet. <br />Bath. <br />/~... Urinal. <br />/.....Plain faucet inside. <br />•y�..Sideivalk tcasber. <br />...hose bib outside. <br />....... Roao bill for buildin;, purposes. <br />• ...hose bib inside. <br />....nib for stable costa iuinq...... <br />sGlll. .. ... <br />.Number peraou. in fan;ily. <br />Number of roon; it build,; i <br />The premises III to be used ns <br />..................... <br />The owner of tbp premises i. ... .. ..... m;t is .... <br />The m„, ................................... . <br />...... <br />........ ............. ... <br />............. ....... <br />Si}uncut.......................................... ppheant. <br />(See other side.) <br />WATER <br />
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