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2913 FULTON ST 2016-01-01 MF Import
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2913 FULTON ST 2016-01-01 MF Import
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Last modified
2/11/2017 3:14:03 PM
Creation date
2/11/2017 3:13:56 PM
Metadata
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Template:
Address Document
Street Name
FULTON ST
Street Number
2913
Imported From Microfiche
Yes
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_Frr<�- ��,�- . � � E��_1_�� �_� : - 1; I�, �.. <br /> a•.n.ra.�,.�—�eoo—Eeca: ;,.:a•.e � <br /> City of Everett�Watei• Department <br /> APPLICA�;IOi� rOR WAT�R <br /> All blanks ..wst be filled in or crossed out <br /> �verett�........�-�c:a..�s.._./.2.,......................J 92..5— <br /> �-_J�'� <br /> TO THE SUP�RINT�Nll�NT QF T$,F, R'ATER DEPART➢IENT: <br /> CITY-OF �VGItETT: <br /> I hereby npply for thc use of water in acccrd�ncc�vith the rules nnd mgu- <br /> lations of the Water Department, for pm�poses nnd fixiures stnted bclow. <br /> During the timc thnt any of thc «•ater mains mny be tnken uP Ly teason <br /> of nny improvements authorized by the City o[ C�•erett, in or of nny street or � <br /> ulley in which Lhey mny huve bcen Inid, thc City wilt not be required to furnish <br /> �enter during the progrnss of such improvements to any consumer wl�ose supplY <br /> roay thus be cut off, or be linble for any dnmoges tor its fnilure so to do. <br /> APDlicn(ion No.._�.c�.�.�....�.�.................. <br /> Block...................:...... ......_..._ L .. .......�. Add..............._....._.................. <br /> A*o...�...�'f.��.....�.�l�.���.�....................8treet <br /> ..................................................................................................................................................... <br /> Tl�e work to be c�ccuted by..................._:���(,..... G.`_...Plumber <br /> Stute size of tnp. � � �� <br /> .`.......Tap to be inserted in ttie main. <br /> ...L..........Nntcr doset <br /> ..1............Bnth <br /> ...�........Urinnl <br /> .,`2...........Plnin fnucct inside <br /> ...�c-......Sidc wnik n•nsher <br /> _./............Hosc bib outside ^ . <br /> `_ C i/ <br /> ................I�osc bib for buildin� purposes /� <br /> ._�.—......Hose bib insidc v <br /> .._�.....Bib for stable contnining....................3tull.................... <br /> ._L-..Numbcr of persons in fnmily <br /> .... <br /> -- � .....Numbcr of romus in building <br /> �. . . <br /> Thc premises ¢rc to bc used as u.............. .. ... ...... .......... <br /> ..... . . .... ......... <br /> The ownci of the prcetisrs is_�fc.....�..�.._l�'.4. �. � ._ . <br /> . ._........... <br /> � Thc ngent is...................................................................................................... <br /> ................ <br /> This npplicntion, nit6ougU signed, shnll not be Uindin� upon thc Cit , until <br /> uceepted Uy Lhe Superintendent o[ thc ater Dep:irtmc�t, - <br /> �f�� �� <br /> Signed.x.........u.t.��:.�.... .Q!�.:N.'C�In ... . ��F icnnt <br /> / I - <br /> Accepted.._W._�.�.��.........::1:�$.�— By.....�/:�. ..- ,�//�......... ..... <br /> _���rierintenden� <br /> l • <br /> --.r_., .. -::�.� <br />
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