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1412 LOMBARD AVE 2016-01-01 MF Import
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1412 LOMBARD AVE 2016-01-01 MF Import
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Last modified
2/17/2017 3:51:30 PM
Creation date
2/17/2017 3:51:20 PM
Metadata
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Template:
Address Document
Street Name
LOMBARD AVE
Street Number
1412
Imported From Microfiche
Yes
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, ,. <br /> �__u,l.- , �� .,-r -i - , , - . � '; <br /> lYl I1.Farm 4-150n—E.III o.-6-26-24 <br /> City of Everett--Water D�partment <br /> 1'��PLICATIC�N FOR WATER <br /> All Ulaulcs nmst bc filled in or crossed out <br /> �verett......................���..:ll."Il_�...z...]!i3. `.J.. <br /> TO TIIL SUPERINTENDPN'P OR TH� \i"ATER D�PARTil1�N'C: <br /> CITY OP EVERLTT: <br /> I hereby :�pP�Y for tUo use uf water in accardanee }eith the ivles and regu- � � <br /> lations of thu R'ater llepnrtment, for I�m�poses and ,"ixtm�es SY1IC(I UCIOR'. <br /> During the time that any oT thc w:�ter mains may Ue tuken up by reuson <br /> r.[ nny iwprovements nuthoriz�d by the Cit}• of I;ccrett, in or of uny street or <br /> ;,Ucy in which ihey m��y ha��e Uecn laid, ttm City will r.ot be re�uired to furnish <br /> �cater during tlic progress oC such imProcements ta miy consumer wiiose sUpp�y <br /> nv�y tlms be cut off, or bc liable^f7ur any dnumges for its failure so to do. <br /> Applicntion No..._..`..1........fcr....r...:_3... - 73`JO <br /> lllock..............__.................._..�' . . Add.__...._�. '. � ; <br /> _..%....._.... .. . ...._..._...... ... .... <br /> . . ...... ....... <br /> No.._....�.��.�...c�ci.h_ -.G'.__.r..���Strcet . <br /> . . _. .... ......__....._-............_......................._.........._.........__............... _ . <br /> .. . . <br /> il:c work to be executed by......_............. . __.__ _. _. ............. ....__...Plumber <br /> UG <br /> $L1fC SI2C Or tdP. /�— /5 ��� <br /> .......�y.Tap to be inserted in tl�e main. <br /> .......L.......�Vater closet <br /> . ....�......Bath � <br /> ........—...Urina; : :. - ;� ' � . <br /> .. _ �-.Plain �fuucet inside '� � �s.� .a � r .. <br /> ... .....Side walk waslier �'�i1� 9 ��\� . <br /> .__.�........I�Iose bib autsi�e � '�� s��,�. l 7C���, . <br /> .._..... .FIosc UiU for building purposes �� . �� `'��''�-' <br /> -,-- <br /> __...�:...I�Iose bib in�ide <br /> ......�.-...BiU :or sCnUle cont�iuing._.......... .... �tall.._................ <br /> .........—..hnmber of persons in family �� <br /> !� ti,.. i <br /> ......� ._ .Num__- of rooms in building � <br /> ':?�a premises arc to be used ns�.............��........................_.,.;............ <br /> Thc .nmer af the prer.iises is... ..lGYt<r.fi"��L.....�,f,.:,��,.�...... <br /> Thc :�gent is.................................................................'...............---.............................. <br /> Tliis npplicntim�, nithough signed, chall :wt be bin:ling upon the City, un�: <br /> ;icceP�ed by the Superintendcnt of the �VnL:r De�artrnent. <br /> 5igned......../_..._..._...........--........._ �."f't'!c'<...�1.��,.c.... pplic� � <br /> `�.. <br /> .lccepted..��=�.2—.._....1'J�5v/��. By.... .... .. ........ �/�...... - <br /> � ��.�i7CS��i�er1}f:eR� <br />
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