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4327 FOREST DR 2016-01-01 MF Import
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4327 FOREST DR 2016-01-01 MF Import
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Last modified
2/11/2017 9:44:52 AM
Creation date
2/11/2017 9:44:48 AM
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Address Document
Street Name
FOREST DR
Street Number
4327
Imported From Microfiche
Yes
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�„i;�;.,.�.. ��-9- � � r; � �,�.ln�,r; �;- 7 �r- 7 "� ��'. : <br /> �. <br /> W.D.Corm 4-1600—E.Y.Co.-6�26-11 <br /> City of Everett��Water D�p�rtment <br /> APPLICATION FO� WATER <br /> All Ulanlcs must tc filled in or cjossed out <br /> Everett�.......................�f...-.'�-.-..�-..........................192�. . <br /> TO TI3E SUPERINTENDENT OF TI?E NATER DEPARTDiENT: <br /> CITY (`?' EVERETT: <br /> I hereby npp:y for the use of water in accordance with the rules nnd regu- <br /> lations of the R'ater Depnrtment, for ;urpn=es and fixtures stnted below. <br /> During the time that ¢ny of the w�ter mains mny be taken up by reuson <br /> of any iwProcements authorized by the City of Everett, in rs of any street or <br /> alley m which they may have been laid, the City will not hc requ�red to furnish <br /> wnter during the progress of fiuch improvements to any consumer whose supply <br /> may thus 6e cut off, or be liaLlzc for any dnmuges for its failure so to do. <br /> Application No.....���/ -���� <br /> ................................ <br /> 3 ............ n ._ ........__...... _..��-c..� <br /> s�o�x..............1........................ Loc................... . <br /> No....y.a�-r. �--�-,��,.e�t �. <br /> - ��.,..�. . . .. .. .. . . .. .............. ..... . <br /> -s� _ . . <br /> The work to be executed bY-..-.-...�..-.........-..........................Plumber <br /> St te size of tnp. <br /> c' <br /> .- c.. <br /> _E.-/........Tnp to be inserted in the main. ��/ i� <br /> � ........:.......Nnter claset �CL <br /> ................B u t!i <br /> .....�.—....Urinul <br /> �� .__�..-.--.Plnin fnucet insid� � <br /> �..............uide wnik �cushcr <br /> ................Hosc bib o�Lsidc � , ��. , ` <br /> �._..—��osc bib for Uuilding Purposes ' .; ;' - � <br /> .._...........Ilose bib insidc � <br /> ........ .Bib for stnble wnt¢ining................_..s2all........_--.......�' , <br /> _._..'.../.. 'Number of persons in fumily �.� � / <br /> ......`J........Numbcr of rowns in building /� ° '� • <br /> The P*emises nre to be used as u..._ //.`J�!��� � p � � ���--�---�- <br /> The owncr of the premises is�...Q.?,...w.4c`'!.`..7'�!.-.`S�.•......._-__..._. <br /> i'Le n6ent is......__................................ ........................................_....._......................... <br /> This applicution, although signcd, cnull not be binding upon the City, until <br /> �,cr•.ptFd by the Superintendent of the Wnlcr/D,epan men � <br /> . . Signed..............._�....�.....�./�..,.....'.... ........... ........APPlicant <br /> �' <br /> a..........���..�.�....i�z.7... s�... .. .. , ............................ <br /> � / - Superintendent <br /> ..-7 <br />
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