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4601 ELM ST 2018-01-02 MF Import
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4601 ELM ST 2018-01-02 MF Import
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Last modified
1/10/2020 1:09:12 PM
Creation date
2/12/2017 7:11:23 AM
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Template:
Address Document
Street Name
ELM ST
Street Number
4601
Imported From Microfiche
Yes
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liV,.n1tiy1� V ' • � . .. � - . . <br /> '1Y.D.Gorm a� 1SOn—E.P.Ca—E-:F.2d <br /> City of Everett--�V+�Tater Depal'tment <br /> AP1'LIC.�TION FOR WATER <br /> All U'anks must Lc fiiled in or crus=ed out <br /> g��� / <br /> Ev�rett.........................._......... ...19"_b.. <br /> .................................. <br /> PO TAE SUPI:I:INTliNP�N'i' OR TIIP R'ATI'sR llEPAI:T`IINT: <br /> CITY' OR �VER�TT: <br /> I hereby enply fur tlte nse uf water in :icem�dance tcith the rules nnd mgu- <br /> lutians of qic R'ater Depnrtnen:, for pm7�oses :md fix'.ures stnted bclon••rcason <br /> Uuring the time that nny of the �valcr m;iins mny bc tnl:en up Ly <br /> of any iui�irovements authori;:ad b�� iLc City of �acrett, m or of nny strcet or <br /> ulley in �chich :hcy may hnve Uecn laid, t.he City will not be required to furnish <br /> �vater during thc Progress of sucL impro��ements to nny consumer wLose supply <br /> m�y tlms Uc cut of[, or Ue liable f� :my damnges for its fnilure so to do. <br /> Applicntiun No...........g�..�".5........... <br /> � <br /> Block....................._.........__.... Lot............................._......... Add._._...._ . ._.....__.........._.... <br /> �� �7 <br /> No._.�.6.� �......4.—�C.G_:.._.................._..Strcet � <br /> .___.__.......... ..................._........................................... _.............._.... ..._....__....................... <br /> The �vorlc to be executed Ly._............_. .... . _.._. ._..__._..........._......._....Plwnber <br /> stac� Si:� of tap, y ?,hio npplicatio,, 1 ��roe <br /> �,'�_.-,�.�.......Tap to Ue inserted in tlie niain. !G ���:y fUI' t130 Slldtiall:it�011 <br /> ................�vaeer ctos�c et u uu .: :otion u�d Por �.l�o <br /> � ..[tnch n rtor nn4 fur Lho t�vtor !n: ' .': <br /> -.:..urinnt -1Zuticn. I furthnr eSro� <br /> `� y�y n [,�inir.nm� of � 3.00 ;, . <br /> ................Plain inucet insidr. .� y�prit�l Otl til�p WOtOIYId CG:il:� :� <br /> .`....—..—'..5ide o�ull: �cnsher . t10n :]0 (i(jI'OOd UrOA �1j� ti.�.�. <br /> _'.-...._aos� bib o„c�iae CiL� �:ouncil ef ':norott. <br /> ...---:..Iiose bib for Uuildin�,m,�Oses r/ � _( r� �" <br /> - IInse 6ib insidc �� w.Q 3i y3 <br /> —.-.:... -y����-c� �S= <br /> .......'—:.IIib for stablc containing...................sia" II..........._:...._,:--'; <br /> --- ' <br /> ................A`um6cr ot Pcrsons m fnmily � � <br /> . NumUer of rooms in building . <br /> .............. <br /> TLe premises are to bc used ns n...._�.. ...... ... .... <br /> n �_..._.......... <br /> ' ^, owncr of the prer.iises is._..�Q<w`a�cf <br /> . . ........ <br /> .... . .....__.___......c�Jcic.-1�.Q;-,CI.J... <br /> �gent is................................................................................................ <br /> ...................... <br /> ,plicntion, nithough signed, shnll not be binding uPon the City, until <br /> �: .he Superintendcnt ot lhc \Vnter�rtmcnt. <br /> 6 .— . ��..%����� 1..._. <br /> �--- <br /> .>i ned........_�'.. ��'.�/ ✓.l .... .. ............ ....Applicnnt � <br /> i, <br /> O.`:,2L.........t...lsz� IIy ._. ... � . <br /> ......................... . <br /> - uperintendent <br /> , <br /> -.��... ,'�%T. <br /> �`, .4.. �.—,"'.. <br /> it,�e,v�Ar r <br />
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