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4610 DOGWOOD DR 2016-01-01 MF Import
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4610 DOGWOOD DR 2016-01-01 MF Import
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Last modified
5/11/2017 12:39:12 PM
Creation date
2/12/2017 3:14:54 AM
Metadata
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Template:
Address Document
Street Name
DOGWOOD DR
Street Number
4610
Imported From Microfiche
Yes
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:'«-td' 2-�l0 -7'�-l� � c_'�u�a—iL.7_lo_2b mti� <br />, . . � <br />w, n. eo.�n � ��r.un—e r.co.—c .a.:i <br />Cir,� of Everett�Watei• Dep�rtment <br />A.PPLICATION FOR ��ATER <br />All Llnnl:s muxt he filled in or crossed out <br />L,�����c ..................... �'��_ ...................................ios..�!. <br />TO TIIE SUI'liRINTL•'NDCNT OG TAE R4YCGR DEPARTMGN'I': <br />CITY OR EVEI:CTT: <br />I 1•.c; oLy np�ily tor the use oC «�nter in nccord�mce �vith thc rcics nnd regu- <br />Intions uC lhc R'ater llep�vtment, for pmno�es �md tis�mrs st:rtrd bdcw. <br />Puring the time thnt nny of thc «•:n^r tnnins mav bc lnken up Ly renson <br />o[ nny in�,provcn��ente anthurized by the Citc nf r�•crett, in or of nny atrect or <br />ulley in �ehich thep may Ln��e baen ]nid, the City will not bc required to furnish <br />�vidcr during thc nrugress af such im��rovemrnts to m�y consumcr whosc aupply <br />muy thus ts cut oft, o(t�bep IinLle [or any dumnges fur its tciture so to do. <br />Applicution No.....p....0..�..r�..._.....G...... <br />Block ...._� ..... _._. j�Lot........ D � . .._... Add._..��.(rE�t�( <br />No . . '!���Q.... /D�.(T.�[d.!-rR:'o.-4(8trcet <br />�� ' <br />.._. _......_...._ ..............................._...................................._.........._.. .....__.._...................... <br />r <br />Tn^ work to be c�ecuted /L�v...._ .. �_.. ........ _.......__ ............. _.....Plumber <br />Sintc sizc of tnp. 3'y / fr� ,.� <br />� 3y �iiis uprlic��iion I r.oroe <br />._.�/�_Tnp to be inserted in the mnint0 Dny IOr ti7L 1-�%��'::ll::tloli of <br />_ <br />._...I.......NnlCi C�OSCC+__ II^10'�i.0i0(1 CO��RBC�10❑ �11(: 1 fUf! <br />� ^ ' a^roe to n a ninimuc� <br />........(.......I3ncL r ; , �her b P Y <br />_._—...L'r;nal �'�r-"� � ' oi.' 3.00 nor -ionth on thie <br />�,-„� t''� 1_s i:j����od connection ns agreod <br />.......2....Pinin t:�u}Ct mtii �do i �� � ... _ � . <br />� �; � ):,,fipbn, by t;:o rity Oouncil of <br />..............Side ��•nik �vn�e@+cdff� ��� ... ..VOPOtt. <br />' ��'� E:i"7 <br />.. ._�......Boet bib outsido ............... <br />........—..Hose bib for buildin �" <br />� B 'Po5e8� ............. <br />..._...—._FIosc biU inside � <br />._._ _-.—...Itib for stablc con:nining ....................stall.................... <br />....... .-...T'umbcr ot persons in family <br />.._...!r�..\umber ot rooms in building <br />Thr gremises arc to be used ns n.. .__. ...... ....................r................... <br />1'he on•ner of tF.e prer.�ises is.. ..��.,- ... .: .�-C.c�e,.r�,e�.,:,.;LuS�..._...... <br />Thengcut is ..............................._..........................._...__.........__............:...................... <br />^h�s npplicntion, nithough signed, shnll not be binding upon the City, until <br />_� . v lhe Superintendent of the �Vn!cr Deparlment. <br />Eigned� r..s�ol...�.ma�..%P.S.t.r' ..��.}� . u. ,•... . A licnnt <br />O a� �J`'�.�...... PP <br />' . ....r.��....../...�.....192�. By...'��....� ��2 �.-f.7 ............................ <br />_ �t—f� Superintendent / <br />
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