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1631 LOMBARD AVE 2018-01-02 MF Import
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1631 LOMBARD AVE 2018-01-02 MF Import
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Last modified
4/29/2022 2:41:30 PM
Creation date
2/17/2017 4:31:01 PM
Metadata
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Template:
Address Document
Street Name
LOMBARD AVE
Street Number
1631
Imported From Microfiche
Yes
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c: .-P s- . r Z� .�, � - <br /> R'. D. F:.nn M1 I500 J.I-17 C.P. ., . . <br /> C[TY OF CVERETT==Water Departmznt <br /> ��plicataoa� f�r Water <br /> :VI 61an1<s nuis[b�c�(I;:d in or crassed out <br /> IiverclL-==,� / ."_�____.___..__19�Y <br /> 7'i) 9'HB SUPCEID''1'ENlllit�'1'OF THIi N,1TIiR DEPARTMIiN'1'. <br /> CPI'Y OG E:�I?GF:I'1': <br /> I here6y apply far the use u(water in amordance�cith tlie rules and reguLr <br /> iinas n('Che W:rter Dep:irtncnt, (or purpuses and fctures stated belu�c. <br /> Uuring Ihe time ihat nn�� ni the water m�iins m�y be laLen up bY rcasun .�i <br /> ❑ny imProvements authurized bc the City o( liceret[,in or of a�)' sircet ar alle}� in <br /> �vLich theY ���'�Y havc hcen laid, the City �vill nnt bc requiird tn lurnish wate� during <br /> tlic prupress o(such improvement:lo any c�nsumer whuec ;upplc may thus bz cut <br /> �di. ur be IiaCde(or any dmm��;es lur its Liilure so tn do. <br /> ApplicnFon No..7sd � <br /> 7 � <br /> �si„�i: 3�_. ���� (�-/c_:_ �a�i. - __ — - <br /> D` --., <br /> >:n..-'=�'- --� �°L'-�.Pi-'-"'=-\-----...---..s�r�i� <br /> '1'he �eork tn be rsecuted by....__ ..-__.____'_.._.__.__._ Ylember . <br /> titatc/:}�'ze��f tap. <br /> / � �/�e o <br /> ��Cap tu Uc in.:i•Acd in thc m:�in. �. <br /> _----_ ----�Vatrr dn.=et <br /> _._.__llath <br /> __.. ____ .Urinal <br /> ._._____..Ylain taucet insi�ic . <br /> ________Sidc walk�raslmr <br /> _ ._____.'Ilu�c bib uutside . <br /> _"._"'_Hosc bib fo:building purposes . <br /> _________.Hosc bib inside <br /> ._."'____fiibfurs[ablecont:�inin�___.._ ._-stall_____'____ . <br /> ____.____Numberuf persons in family � <br /> .______.Number af rooms in building <br /> hc premises are to bc used as a__________________'._. <br /> .__--___._._._ .__._. <br /> �.e owner u([he premises is ________ .._.__. _ <br /> _ _____'_____________. <br /> � Chc aHen[ is _________.'.__. __"'_'____.___ <br /> ._____._______"___ ._______._ <br /> � °'�,is applicationA�l[huugh sigr.rd, �hall nct Lc binding upon Ihe City. until ac <br /> ....,... Cl' . ,,/ <br /> �.. � y"Che Superintenden 51 tL Y r �/6�!artment. <br /> / / � / <br /> � Siined__ _' �.__��.', _�sY_'�'��/L?�ll)'✓ .'_."___Applic. t <br /> . __ _____ <br /> ,i <br /> A�cvpied_�_�._�___�y B� . <br /> __._. <br /> ,,. __________.___ <br /> � �.. .��,�.i��,,•.,�.i <br />
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