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1132 LOMBARD AVE 2016-01-01 MF Import
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1132 LOMBARD AVE 2016-01-01 MF Import
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Last modified
2/17/2017 3:18:44 PM
Creation date
2/17/2017 3:18:39 PM
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Address Document
Street Name
LOMBARD AVE
Street Number
1132
Imported From Microfiche
Yes
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� �_ �9" 9L '�.-�1_'_�1__.� V— I �: - -:�; �, <br /> �� �"1 <br /> J <br /> 15'.0.Fcnn d-1GUM1—I;_n,Co.-6�2G:3 <br /> City ct Everett��Tatei� Depai�t2nent <br /> 1�1'P�ICI�TION F�R WATER <br /> All l�lank; mvst bc fiiled in or crossed uut <br /> Z <br /> Ecerett,....�......�` ._�:.t.r....�..............._.._......._1'J2�e.. <br /> 7'0 1'Hli SUI'iiRINTliNP.ENT O T� . NATliP. DEPAPT11SliN'C: <br /> CI F PVERETT: <br /> I licreby npn]y for tlic u�c of w.^.Ler In aa�ar:I,ucc �vith the rules and redu- <br /> I:i6ions of thc APater DepurtmenQ for puinoses :md fis�.ures stnte�l below. <br /> During Uie time th.et nny of the tc:ricr �aains may Ue taken up by tcason <br /> of any imProver.:ents authnrieed by the Cit;� of Gcerett, in or of anp streeb or <br /> :illey in which they may haec 6cen laid, t.hc City will not be required [o furni�h <br /> •a^�ter durin�* the 2�rogress of such impro��ements to any con�stuuer wlrose supplp <br /> m:�y thus be cut ntt, or b�liaU,�e,�or ::ny datnages for its failure so to do. <br /> Application Na...�-3...�..........._... �—�--;;�-, <br /> Block......................_........ - Lot..._.... ........__. ...__.__. Add��.�t�-A-�::°). <br /> ��. <br /> No._..//._��_..���yv�................__ .._.._...Strcet <br /> __.. .. _ . ___._.._.. . .. . ..... .... .. ...._...._. <br /> Tlii nurk +a be exewted by _ ...-�� !T-•. {—:Plumber . <br /> 1 <br /> ��c /ze of tap. r/ �� s ��� .� '� �,, <br /> :�.�I.....Tap to be inserted m the mam. ,,.� /�' � -� . �� - ' <br /> . ..`......_R'nler closet ._.,' J �.!; j _ . ��_:� <br /> _ .. ,,.. ,..� <br /> ._._—..'..._...Bach i'...Y OF E'�ic' - 1 ... .�� <br /> -- � . ....................... <br /> ................Urinal ... <br /> �._ . ....... ......... <br /> ....�.t...........Plain faucet insidc i� <br /> .�.....Sidc a�alk �aasher �� <br /> ..._�..........Hosc biU ouLeide <br /> .._�.........Hosc Lib fur building P��'P��"�'� <br /> ........-�....._IIose bib inside - <br /> .....-..-:::....BiU for staUle containing...................stall.................... <br /> .........:..:....Nwnber ot persons in fnmily <br /> .._� .NumUcr of rooms in Uuilding <br /> Tha Premises nre to be used as a (�.1_�i� � C--f <br /> . / ___ , . .�..� <br /> Tl�r, o�cner oL t:.e premises is/� - .�--� _...___� �/J �. LC�C(C.,.�'../...Lr--- <br /> " � � cgent is..................__.... _.. ....................................._.._......................... <br /> ul>plication, althoug �'gncd ;hall not b hinding upon tlie Cily, until <br /> by thc Superinteq cut uf thc Vatcr De�rtment. <br /> � / ' � � / � �1 <br /> Si•ned..� � :.l�.�.'�... .� . .. ....- „�./.�1/'��� pplicant <br /> 6 _..... � . . ...... .L.�... <br /> . �� /--� �����-�/ <br /> ._.�....-.f•�...192� BY._.1l��T// <br /> ✓ �.........._...... <br /> � . - S4perintendcut <br /> � �. <br />
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