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4328 FOREST DR 2016-01-01 MF Import
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4328 FOREST DR 2016-01-01 MF Import
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Last modified
2/11/2017 9:45:26 AM
Creation date
2/11/2017 9:45:19 AM
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Template:
Address Document
Street Name
FOREST DR
Street Number
4328
Imported From Microfiche
Yes
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._. . , ._ ,,. , . . �,�J-_t..L2 d! L�- :)-:�-7L f�Ill <br /> V7.U.:o� .1-1c09—E.P.Co.—G2U24 ' • <br /> w ' <br /> City of Everett�-Water Department <br /> APPLICA'rION FOR WATER <br /> All Llanlcs must be £il!ed in or crussed out � <br /> E��rett..............�.W`�f..�/.....a..c7.-.._............192CO.. <br /> TO TI�E SUPERINTEA`DPNT OF TIiP �i'ATER�AEPART\IENT: <br /> CITY OF �VERETT: <br /> I i�ereby upply for the use of water in nccm•dance�vilh the rulcs nnd regu- <br /> lations of the PJater Deparhnent, for purposes und fixtures stated Lclow. <br /> � During the lime that nny of the �vater mnins mny be tuken up by reason <br /> of any improvements authorized by the City of Everett, in or of any atreet or <br /> xlie,� in which they may hnve been laid, the City will not bc required :o furnish <br /> water during Lhe progress of auch improvements to any consumer whose aupply <br /> may thus be cut off, o(r/� be liable for any damnges for its failure so Lo do. <br /> Application No.._d .� V�7 7 <br /> - .....��.�..�..... . . <br /> Block............:�... _ . . Lot........�...................�.�..�Add....................................... <br /> ........... <br /> fio...///...._ ... .........���.�..._Gc�.:SEreet .... <br /> ..._....'-/ �;_�> � � ac G�'_ <br /> ............. .._...........o��.:.::,............................................ ..._............................... <br /> � The work to be executed by...................... ...�..�.��.p_..._..._._......YlumLe. <br /> i <br /> St2ate/'/size of tnp. � <br /> rl..y...Tap to be inserted in the main. <br /> L <br /> ................Nater closet <br /> ........ ..Bach � <br /> ...... .....Urinal � . � �� .c <br /> ..... o <br /> �yt,f <br /> ' --.._�-....Plum £nucet inside �� � -� .; <br /> ,, <br /> �— ,_.. <br /> ................Side walk �vasher ' �� � <br /> .....�..Hase bib outside �- � <br /> ..........-_Hose bib for hnilding purposes <br /> .......... Hose bib inside <br /> , .......-�iib foi� stable containing....................s;all.................... <br /> .......... Numbcr of peraons in family <br /> ......J.......Number oY rooms in bui]ding _ <br /> The premiaes are to be used as n.... _._ .. .. .......... ........ __. <br /> - '� /' �....... . <br /> The owner of the premises is.....��.....•... .,,J._.��L,(./,,.C<.(/�.�!yj_........._ <br /> Thcagent is.............................................�--...................................................................... <br /> � .application, although signed ahall not 6e binding upon t:ie City, until <br /> by the SuperinLendent,�.�f the �'Gater Depnjtme � <br /> Signed._�.........L./!.'....VJ..,.✓`=41��.� ... ... ...App!icant/ <br /> _� .s�.�..��....r1�J2!/.. By.. .... . ... .... .�.. ........................... <br /> � uperintendent <br /> i � <br /> �--� <br />
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