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2322 LOMBARD AVE 2016-01-01 MF Import
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2322 LOMBARD AVE 2016-01-01 MF Import
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Last modified
2/17/2017 6:04:14 PM
Creation date
2/17/2017 6:04:12 PM
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Address Document
Street Name
LOMBARD AVE
Street Number
2322
Imported From Microfiche
Yes
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._ - ' .. / —J�� L � .J� - �- //I :-� / 1 ' J- r <br /> WeU. Fr.rc� 4 ISGO J-1-17 G.P. <br /> CIT1' OF EVERETT==Water Department <br /> Application far �Water <br /> :111 blanks must be filled in or uossed nu[ <br /> Everet(___ ______________/�/� / __191�-�- <br /> 'PO 'PHE SUPIiRINT&NDEN"f O�'PHL' WATER DHYARTh]ENT, <br /> CI7'Y OI� E`/ERE'1'T: <br /> I hereby apply fnr the use n(water in accordance with the rules and rcgula� <br /> tions of The \Yamr DeparUn-nt, fnr purpnses and fix[ures s[ated Lelrnv. <br /> '?uring the time ihat anY��f Lhe�cater mair.s may be taken up by reasan of <br /> an)' imu�ovements autl�orimd b�� the Citp u( �veret[, in or u( anl' sVice[ or alley in <br /> �r:iich they may have becn laid, the City will not 6c requircd to (urnish watcr during <br /> the�rogress n(such improvements tu:my rnnsumer whuse supply may thus he rut <br /> uif or be liable for any damnqes (or it9 failure so to do. <br /> Applia�tio1n1 Nqo.'__"_C'��'S'___"_ ' <br /> lil:._�� __'�C.l�___ ._._LoL �_?_. ____'____ d�i_____ . <br /> __ .______-_-__ _. <br /> i <br /> \n._�:�.��'"�__ ' ' _'__" '.SVcol <br /> 'fhe work [n be executrd 6y------ ------- -----------.----------- Plum6cr <br /> s�.��6���„r�,p. <br /> __��z'___f:ip[o bc inscrtcd in the main. � a a �� <br /> _ ._._�____�Va[cr dnset <br /> i,�-O — 0 <br /> . _______-I3atlt �,l:j✓ . <br /> ..___ .Urinal �r.. � � <br /> . ________Plain faucet insidc <br /> ._________Side walk tvasher <br /> .____'._iluse bib uutsi,'e <br /> ___'___.Hose bib forbui:dint:purpuses <br /> _. ___'___Hose bib in� .� _'I <br /> •M1. <br /> .___'."_6ib Cor s[aSle containing..._____.___stall___.....__' <br /> ___....___Numbcrof persuns in Limily . <br /> _. ��r __Number of rooms in huilding <br /> �_i__ ' <br /> "Che premises are to bc uscd as a_ __��.��s:-+-.:...�'-,-'_ ._ ___ __.__. <br /> '�he ownerof the Uremises is ________________'.__..."_"__.. ._ <br /> "fhcagentis__'___________ ___________'___ .___._.______'__'_____'____.__ <br /> 'I'his npplii�atio-, although siqned, shail not be binding upon the City, until ao <br /> rrptcd Uy Thr Superintendent o(Nic \Vuter Department. <br /> � � '�fr'Gj�;..,..: <br /> .�,� _(.C�%(l�rY�tv, � .. :7-- �------'--APPlicant <br /> Q4J�. . . ____'__ <br /> / '�.r.t . )7,L. � , . <br /> Acccptcd..___'_"_"" .191 L .'_"_-_. '" '_"_"__'"__'" � <br /> �' .nyl�� ` � r . ___" �,c-rmronv.n <br /> - . ' � <br />
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