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2025 LOMBARD AVE 2016-01-01 MF Import
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2025 LOMBARD AVE 2016-01-01 MF Import
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Last modified
2/17/2017 5:23:23 PM
Creation date
2/17/2017 5:23:16 PM
Metadata
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Template:
Address Document
Street Name
LOMBARD AVE
Street Number
2025
Imported From Microfiche
Yes
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—Tv'� <br /> .r / . <br /> W. O. Fonn 4 1 ST�O �-1-17 G.R � <br /> CITY OF CVERE�'T==Water Depar�men� <br /> 1�pplicati��r� f��r W��ter <br /> nll blanks mus[be filled in ur cross�d nr. <br /> "l�// <br /> Everet[____________________'_.!__�_./______.__.291��- , <br /> "ft) 'PIi G SUPIiRINTHNDIiN'I'OC ';!£W:;PER D'ePAP.1'INENT, <br /> CI1'Y OF �':EFBTT: <br /> I hcre6y apP1Y fnr die use o(water in accordauce �eith Ihc riles and regula- <br /> �ion;n['I'he 1Vater D�portmmt, fnr purposes and fixtures atnred hr;�iw. <br /> UurinG Ihe [ime ihat anc oi thc water mains may be taken up bY reasm! of <br /> any imp:uvements authorized hy the Cin� ui Iivercit,in or uf any clrect or alley in <br /> �vhich they nr:y have bceu laid. Uie Ci[y ,vill not be required to furnish water dur.n�; <br /> die prog��ess of sucL improvements tn ary consumer whuse suPPiy :n:iy� thus be cut <br /> nff, or bc liable fnr any d;�m;�Kea}�(nr its �:;�ilure so to/du. <br /> AppliCntinn No._�,_/'_7C! ' 7� 7 b <br /> // N ' " "' <br /> I31nck _'7��__ ___�oL��.— /� Add__._. <br /> _ _.___ ___. . <br /> ____ <br /> ����-��`� 'T .Strect <br /> ____ "-_'�"�_"______'_ .""_'_' <br /> "' "'__"_'__"""__'__' <br /> 'I'heworktnbcesecutedby___ ____________ '.___.___'____"___.__ Plur�ber . <br /> Sudc sizr u( tap. <br /> .��/�__Tap to be inserted in the main. �c�� �[� / � /' , <br /> t � � z, <br /> w:��e��i�s�� i, c <br /> — �---.��a� ' . , <br /> .-- . _Urinal � '`��`�� � <br /> —, a'� <br /> _Plain fauce[msidc . ��{�� ' , �4 I ;:.c�. <br /> ... ______Sidewalku�asher ,.i:7,y 7��� 1�I,� , `. <br /> _._.__ � ,� -�li •. _ . , <br /> i <br /> __Hnsebiboutsidc i! <br /> �i <br /> _ ____ _.Hosebiblorbnildingpurposes l'�;,I'�Ij 1.�. <br /> �i: . ; <br /> ::: L.. N6f_ �__ , i : <br /> _______Hosc6ibinsidc ... � <br /> . _ <br /> ._____-__-RibtorstaUlecuntaining.______.___stalL.f R.,`G :'� % �� <br /> ���':. <br /> _ . __ Number ot persuns in (amily . <br /> . .�_____Number o( raums in huilding /-` /. �. � . <br /> 'I�hepremisesaretobeusedas- a.___._.___._'. ._.___.__-_-!_r�t'�_' � L�I •_ .. <br /> '___'. <br /> '1'he ua•ncr of the premises is _____'.__._____.__ <br /> _______________________________ <br /> 'CLe agenlis ._________.._ <br /> . .__.___________ ._. _____._"'.__ _____________ <br /> 9�his :�pplir.LLinn. although siRncd.shall nut be bindin�upon lhc CiIY� u��til ac <br /> ���p,cJ by 'Phe Superintendent u(the Wnter Ueparlment. <br /> / ,. _ <br /> SiRned _____t�i.J_1-�=._�__�f.'Y--`c1c(C[���_ _APPlicant <br /> " <br /> �1ec�pt<d � Jr__ _._.lgt-'�'Y� By..:�'irJ� <br /> �/-1 ""_____ "' <br /> .� / ! �i � / S Su,erlmm�d�m �.` <br /> _ . . :r^ �. �J <br />
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