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1624 LOMBARD AVE 2018-01-02 MF Import
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1624 LOMBARD AVE 2018-01-02 MF Import
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Last modified
4/29/2022 2:31:40 PM
Creation date
2/17/2017 4:26:03 PM
Metadata
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Template:
Address Document
Street Name
LOMBARD AVE
Street Number
1624
Imported From Microfiche
Yes
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�_c."-c' n. `r- 1 s- ��/ c -.-. e..�.. . , ; � . � � ' . <br /> �i_I�.P�.riuq-.IEiln-_L.P.Cu-6-2G..'J ' . _ <br /> City of Everett�--Vd'ater Department <br /> 1��'PLICI�TION FOR WATEIZ <br /> dll bLml;:; must Lc filled in or crocsed out <br /> �•l, <7 � — <br /> I;vereLt,.....�::.:..:X:�.::'{�...........� 1....._..............._lD"_...-� <br /> fU 'flili AU1'I:1:1�V7'I:'C�;:;N•1' pI�' TIdE \PAT�R DF.PARTidlV'C: <br /> CITY Oh' E4C12C1'T: <br /> ] ]:croLy apnly for thc u�c of �catcr in acco.d;;nce with Lli_ rulu:�� ar.d regu- <br /> latin�is of U�c C��ater Depnrtment, for pm�poacs snd fis'ures �LLLed bcln�c. <br /> Dw•in� the time that anp of the water m;ii;;s may be tal:en vp Ly rcason <br /> ^i :my in:provements nuthut•ized Uy thc City of livcrett, in or of imy street m� <br /> .•'�!�'y in which (hey nay hnce Ueen la�d, Uie City �cill not Lc required to furnisL <br /> o:ater �3urit,g t}�e progresa ot sueh improcentents to any c�nsumer wliose suPP�B <br /> r,',�.�}' thus bc cut off, o�ribe IiaLl�G for miy� d•amages for its fuilur:. so to do. <br /> Applieation No.....O..J...-.�.� O <br /> .................... <br /> lilock....................��..-=�__�_. - . Lot.../.1...._f�.�.'_.�_.............. Add.. _ . <br /> . ...._ . ... ..... <br /> �u._ _ ./_�e.%Z.`-�.� �, � <br /> _�.�....r.i-rf-z..f'f._...........8treet <br /> .. ._... _ _........ . ....... .. ... ... . � <br /> -. � . . ..... ......... __ .._ ......... ..........._. <br /> 7'he worlc to be esecuted by ..... .... � ,('�� �',` ..__...Plumber <br /> Rtate size of tap. � � ti7�,,�� 7 ,CU_'� � . . _ . <br /> A, c�• <br /> __2_.._..Tap to lro inecrted in tl�e mair�' � !j - <br /> _../_.._._.APnter cla>et r < <br /> .�.........BatL ' <br /> .. _.`._....Urin:;l <br /> � -_�........Plain fa�sct iu?idc <br /> .......-......5ide ���nil: ;:nshcr <br /> .. .�......._I�Iose bib outside <br /> --...�......Hose bib for buildinti pm��r.,:.r� <br /> ....:-....._I�Iasc bih inside <br /> .....:.-.:.-:.....Bi6 for staUle containing....................stall.__............... <br /> �_-..:-......NumUnr of persons in fumily <br /> ���..:�....NumUer of romns in Luilcting )�7 <br /> 7'he premises are to be used us n......._..O.S.�_�-{_�{_� � .,�_ <br /> � ...._... ... <br /> 'Plic owner of t6e pre�eiise; is.._ Ci..L....�/ �2� ;`� . � , <br /> �. . .1 . �� � :-i.?—`. <br /> _: <br /> � igent is.... . ..... ............ <br /> ...................._.............. <br /> ...._....... <br /> .................................... <br /> . 'icntion, nlLhough signed, aliall not be Uinding upon the City, until <br /> he Superintendent�of the Water Department. <br /> Signecl....�...._..!V�_.. <br /> ..... .. ..._.._.. <br /> .. <br /> ^ ..� ......... ....... ....Appli nt <br /> ✓ _ ' _..,— 1!1� ... " <br /> .........../..... . .�'� By_../�- .... . �i/ <br /> -�i 1�' . ........._....._.... <br /> � ' - )uperin[endent... <br /> � —��<� <br />
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