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1531 LOMBARD AVE 2018-01-02 MF Import
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1531 LOMBARD AVE 2018-01-02 MF Import
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Last modified
4/29/2022 2:12:58 PM
Creation date
2/17/2017 4:15:29 PM
Metadata
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Template:
Address Document
Street Name
LOMBARD AVE
Street Number
1531
Imported From Microfiche
Yes
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� <br /> �a. n. F��m a isco a-i-n c.�. � <br /> C(TY OF EVERETT==Water Department <br /> App�.ic�tioa� fvr �1Va/4�//�p'��' <br /> :\II Slanks must be fille l�i or crosscd oc�i�/ _ <br /> Iiecrett....____. _14Y�!-- <br /> ____.._'____._ <br /> "f0 7'l1E SUPERI\'CGNUI:N7'OP"PHl3 NA" :R UBPARTMENT, <br /> C17'Y OP fi`/ERF,7'T: <br /> I hereby app1Y (nr the use o( �cater in uccordance a�itli tlie rules and regu�a� <br /> ;i.er nC Th^ \Vater Departm mt, for purposes :md �i�tw'es stu[eJ below. <br /> Uuring the[ime :iiat any ot the w�a[er mains may be taken ap by reasun o( <br /> mn� improvement,authorized bc tlic City o[ Hverelt, in nr o( any strcet or a11cY in <br /> �chich d�ey nIDY have hecn I:iid, the City will not be required to fumish x'nter durinF <br /> ihe proqress of such imurovements tn any eonsumer whnse supply may [hus be cut <br /> ��:1, ur he liable tor;iny d:mi:q;es iur � i:�ilure so tn du. <br /> :Applicetian No._�����'-- / <br /> lilud: _/�.d'_"/____Lo[" _____/__U Add'_'_ _-__'--"-'-'- <br /> \u___J. �T�l------_�(�{ _�__/___'.,_'�/_ Strcc[ <br /> L�"�"'�`{ .. <br /> - . "'_""__"' ' _'___"____"__'_ <br /> ._.___._.�__.__________________ ______ <br /> 'I'Le work to be execu[ed by__.__'.________.____. _._______._.___' Ptumbe� <br /> Slale sjzr uf tap. . . <br /> , y� � �� <br /> % _'fap to bc inscrted in[hc main. <br /> —� w,«����s�c <br /> .--,�_.Isach <br /> .Urinal . :.,.�_yi' �..� - <br /> _.. .___ p��„�� -"�`..� ;.;. <br /> ___Plain taucet inside ..-_" - - <br /> _ �.' / <br /> __ ____Sidc walk n�:�shcr . ! .I�. � .:: <br /> ��, <br /> __ .____.'HnsebiAoutside .X - ������li��: _ <br /> <. <br /> � ___._-__.Ilose bib fnrbuilaing pw�poses . ,... � ., � � , <br /> ___ ___Hosebibinside �tall�_-., �' , <br /> � `+ .� _ ; <br /> .___ .__.13ibfurstablecontaining____.. �l_:.^ ii <br /> __..___NumbcroCpersunsinfanti!y y �x ���. <br /> /� ��'� , <br /> �%v: 1�.; ,:,. <br /> .__��_Numi.•.�of rooms in Uuilding .., .._�'-.:,. <br /> "fhepremisesnretubeusedasa_____ _________'___"_____'__.________ ""_. <br /> "I'i�: mvnern([heprcmisesis _____'................__. .__.'_______'___.___-. <br /> "fhe :ii:enlis. ___._._'________________'___ _.-_._.__.__' <br /> _"""_'___"__' <br /> �I'hi. applicntinn. although signed, sh:�il nut 6e binding upon the City. until ac� <br /> ,-co�e�i bc '1'hr Suparin�endent of the N:itar I D�rtnunt. <br /> . � SiE•ned ��YJi;- - - - - - Applic�n[ <br /> �j A s� -- <br /> :,c,e,rtca. --/----�_----'�"� - - , � G�9'_'�---I{ <br /> � . . . '�`n Sorerimender.\ <br /> e,_�-�«. , . � <br /> . .. _._ � , <br />
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