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1314 LOMBARD AVE 2016-01-01 MF Import
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1314 LOMBARD AVE 2016-01-01 MF Import
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Last modified
2/17/2017 3:35:59 PM
Creation date
2/17/2017 3:35:54 PM
Metadata
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Template:
Address Document
Street Name
LOMBARD AVE
Street Number
1314
Imported From Microfiche
Yes
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i i. .. ., '" �/� �... <br /> �L..• y— � �• . ., . ,.,r:- ,_ /� <br /> �.��. � <br /> .. 6'.U.Puim 4-1GOn—EP.Co.�^.fi-.4 � <br /> City of Everett�Watei� Dep�rtment <br /> � API'LICATION FOR �ATER <br /> dll Ulanks must be iilled in or cross,.d out <br /> �vereLt.................................�../�.�_...........-.............1.'4L..." <br /> TO TIIE SUP�RINTlNDGN'P OP TIiI: Ti'ATER DEPARTDI�NT: <br /> CITY OF FVPI2PTT: <br /> I tiereby npply for the use of tv�ter i�t accordance widt tl�e rules nnd regu- <br /> I1t10f19 OI lhe Water Deparlment, for purposes and fixtw•es atated Uelo�v. <br /> During thc timc that nny of thc w:u_r mitins may be tnl:en up by reneon <br /> oi nny improvements nuthorized by tlie City of ���erett, in or ef nny screet oz <br /> clley in which Ihey ntay hnvn been Inid, Uie City will not 6e required to furnish <br /> wnler dm�ing the progress of such improvements tn nny consumer whose suPP�Y <br /> m:r� thus Le cut off, or be li¢blae for :my dan:uges forr7its failure so to do. <br /> e�pp!icnlion No...........9U...0.�...�..._ -' ��z / - ,c��� <br /> �,o�i�......�2.�.y.........�._. L.�c.... ....2.�. naa.....!.�/'-K. �-�-.��c2� <br /> No...._l.o�.._�..y._... .. ........ ._....._._........ ............Street <br /> ....-....._.........__............................._..........................----....._.......................... .......................__. <br /> i <br /> Thc work to be executed by.............. ....._.__ ... ............ .............._........Plumber <br /> Stnte size of tnp. - <br /> � �� ., � c.,� <br /> ....�� Tap to 6e inserted in the main. / i � : .___--- <br /> ... <br /> .R'ater closct � <br /> ......�....... , <br /> ....�..........Bath <br /> ......—.-...Urinal <br /> c�- <br /> ................Fl¢in ir.ucet ins:de <br /> ....._.........Sidc w�lk �vasher <br /> ._..—....II.se bib outsidc <br /> ..�..,�...I�ose bib for building pur�ioses - <br /> .�...,,_..Hose Uib inside <br /> —....Bib fcr stnUle contninin�...................stall........�.... ... <br /> .......—.-�..A`umbcr of persons in family <br /> ....�.....NumLer of rooms in building • <br /> The premises are to be vsed ns n......... ....._._._.._...._ ...._......... ......_._.._.. <br /> The owner of the Premises i�.-vCJr.3.�-�5,.�'....��:'.—�t <br /> Theagent is..................................................................................................................... . <br /> This npplicntion. nitnough signed, ,Lall nnt be Uindiag upor. the City, until <br /> epted by tte Supex•intendent oL tlie Nater Depnrtment. <br /> S�6ned.... . .. .... . ... . . _ .._4.�-.�,AI�an�/ <br /> , � � <br /> spted...� � /�.-:�l/ 193.... By _��:t:G�� ._:�. �..iti� <br /> Superint�ndent <br /> : � <br /> a <br />
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