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1510 LOMBARD AVE 2016-01-01 MF Import
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1510 LOMBARD AVE 2016-01-01 MF Import
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Last modified
2/17/2017 4:07:35 PM
Creation date
2/17/2017 4:07:29 PM
Metadata
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Template:
Address Document
Street Name
LOMBARD AVE
Street Number
1510
Imported From Microfiche
Yes
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`Latrt.A .�_ef _'��. l( .cc��7+r' , ��J. � n_ �( : �. <br /> P; ��.i:�rn:I-16�it—E.P.Co.-3 ^... <br /> Cicy of Everett�--Water Dep�l'�me:1t <br /> �i �s��C�'�r��l�� ���� �����. <br /> :1!� bl^uks nmst l-c filled in o^ crost=ed out <br /> i 7 , <br /> liverett,.........._.... ... _ . .�/./.... L-...�C......_. 1P2/�.. <br /> PO 1'I;P SliPliRI:ITlIQUT:2d1' OP TIIf�". TI:It DF.PAIiT1S�Id'P: <br /> CITY OR I.itETT: <br /> I LereU1' nPply for lhe ..�.e of w�ter i-:� :rc.md'mce �citli the rules and reg'i' <br /> L:tions of thc Nater Denartment. :or pm7ro=es :ad fislures sta,cd Lclow. <br /> Dcring the time t6at an7 m the �c:der nviins mny be tal:en up by rcasun <br /> of nn1' ����P�'o-:mnents autho::;.ed by the Ci_ry of F.verett, in or uF nny strect or <br /> alle}• in which �hey raay '.a��e been laid, thc CiLy �cill not bo reqnired to furnisli <br /> ;;nter during the PT�6re�s of �uch improvem^,nt.^, to any cansumer wLuse snpplJ' <br /> m:�y- ttms Ue �ut ot'C, or bc liablc fo� .:ny d^mages im• i.s failure su to do. <br /> App!icntion r*a.......,���............_ -639`j . � � �--�c <br /> Glocl. . ;.L.�� _..... I ...:..1T�yI�� _ .__ ..... Add:.-'�w'�.-a-u. i,..<n...-; ., , <br /> No .. ...�-� �U_�LL��2��.. _Street � <br /> . .___........ . .............._ __..._........ _.. .__.._.. ..____._.. . . ___.__.__. . . .._..... <br /> Tiie �cm•k to b^ executed by._._ _..... . � .-. .._tiG...Plumber <br /> �laLc size of tap. ��j✓� � <br /> ���?-.:.Tnp to Ue inecrted in the in:iin. � <br /> .......�...._\V�ateT eloset <br /> _.....�.......E a t h . . . . <br /> .._._—:....Urinal i� . <br /> ._.Z..._.Plain faucet inside ��"� �' <br /> _... .-......Sidc �call: tvashei � <br /> _ .-�..._Flose bib outsidc <br /> .._._-.....Hose Uib Cor building pu;poses <br /> .. .... ......Aosc bib insidc <br /> ._.-..-....Bib Sor staUle con:aining........__.......slall......_......... .. <br /> _..._ ......IQumber of pers-ons in fim�ily <br /> . .. -�...A'wnUer of roovis in bmldi.^.g ��� <br /> n� presises nre to be used as a_ _.�_.U ���`�/� . .. <br /> _ . .. . <br /> /. .. <br /> 1hc o�cner of the prce�ises is__�lJ.KUT/ .�6- 5� � � - !r� <br /> TheaFent is................._.................._..._........_.........._......._....................._..............._.. <br /> 71iis npplic:�tian, nitl�ough =igned, :hnll not be binding upon the City, until <br /> ,pted Uy the SuPerinten/d ut of thc WAter Dep¢rtment. <br /> Signed.........._�-:���+.....�.... . . ...... ... ...........APplicant <br /> i <br /> . +epLed..... ..." .��.. .... .........19�..�I.. By. _.. . .................................... <br /> ��� � Superintendent <br /> / � <br />
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