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3501 EVERETT AVE 2016-01-01 MF Import
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3501 EVERETT AVE 2016-01-01 MF Import
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Last modified
2/13/2017 6:51:01 AM
Creation date
2/13/2017 6:50:40 AM
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Address Document
Street Name
EVERETT AVE
Street Number
3501
Imported From Microfiche
Yes
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i�' . ' ._ . . i .cJ <./ <br /> r ' <br /> �` ' . <br /> W. 0. Form t I500 J-i-17 C.P. ' <br /> CITY OF EVERETTa=Water Department - <br /> � <br /> Application for Water <br /> All blanks must be ed in or crouca/�ut - <br /> i/ <br /> "v(/ <br /> Ereret4-_._ '__9 . _...'____.__1 __ <br /> TO '1'HF.SUPI?RINTENUEN7'O 1E WATER UtiPARTDIENT, � <br /> ' 7 OF E`�BRF.TT: <br /> I hercby apply (or the use of waler in aanrdance ai;h the rvles and reKula� � <br /> tinns of Thc Waler Uepar[m�ent. (or purpnses �r.d fixtures sta�ed below. <br /> Durin� lhe Iime lhat any of thc watcr mains may be taken up by rcason of , <br /> any improvements authorized by lte Ci�y uf Everetl,in or nf any ���ccl �tt alley in <br /> whid�thcy m:y have been laid, the City u•ill nnt bc rcquired to lu:nish a'ater du:inF <br /> lhe prugrrss n(such improvemenls to.any consumrr whose ti���i� may thus br cul <br /> n(f, oi bc liab�e(o�any damaKes for its failure so to dn. <br /> Applicntiun Nop.-,7/ -`-�'3--'--'- <br /> illcek ._�1_.7- - -I.oL---'/�"-------'--Add-------------- <br /> '�Sc�_�_.�.�`t.� �—�_'-v.Strect <br /> '__ ' <br /> , o.----'---- - <br /> "".__'_"_""'__ ' '_""'__'_"___""""_"_"_'_.'___"'""""'"_'"'""" <br /> "Phe work lo bc executi�d b)'--"'---�1 ,�vtN""'T r���Plumber <br /> / ' <br /> Stale si r�d lap. .� <br /> 3/_�__Tap tn be inserted in the main. <br /> _.____[__Water doset <br /> ._.'_.__.Betk-_-. <br /> ---_ ---- . rmC'i .Ti — <br /> .___,.__Ylain faucet insidc <br /> . _ �^._Side walk washer <br /> _._p��._Hnsc bib uutside �� <br /> _.. �Qll�stdt� <br /> _"____" � <br /> _"'""_"_."'.gla�'____."' <br /> __.__.___.Numbcr of persnns iu f�mil)' <br /> _"____'_Namber nt rooms in buildinq J/�(/�� }, � ry�� � � _ <br /> ^'he Premises are lu be used as a_..__--'+1"�'-"-�--�'-- --' -- ---~� • <br /> :he mvner of ihe Pr :es�s4__'-_'_e.--- ' �//"- �/J�-�-/- <br /> . F'l.�✓lM �✓L_.�'_—_✓. .__ . <br /> ^hc aF'ent is...-'---�--�-----------'------' . <br /> � �: apPlication, aithough signcel.shall mn bc binding upun the City. until ao <br /> y Thc Superinlendcnt o(the Wnlcr UeparUnenl. <br /> SiRned �o�•��-C1.t_�_. _, __. PP� a <br /> 1 nt <br /> { �2 . . ' l�lld. .ti__ _ __ �A1 t;)'- ' '-�tir. $uC�Ylnl[nC <br /> f ,{�',...tri�r� L •� �,�fi� '; <br />
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