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2601 LOMBARD AVE 2016-01-01 MF Import
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2601 LOMBARD AVE 2016-01-01 MF Import
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Last modified
2/17/2017 6:37:45 PM
Creation date
2/17/2017 6:37:39 PM
Metadata
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Template:
Address Document
Street Name
LOMBARD AVE
Street Number
2601
Imported From Microfiche
Yes
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_ ,, _. - - - .. _ _. _ <br /> , . _ a_ .�_..: .. ... <br /> w � .. .. _. . __ ,_. _. . ._.. ..,r _ . _ . . <br /> \ <br /> —,� <br /> �'�-47v �- i 3- -, .;�C. <br /> .. . _ GnrTiJ �,—IS 7'S' �i,' <br /> �U.D.Form 1—�fi00—p„P.Co.L-9G�24 � <br /> City of Everett�--Water Depa.�ment <br /> APPLICATTON ��R �,T�TER. <br /> All blanks mu;t Ue £iiled in or crossed out <br /> Everett...�..../. � <br /> TO THE SUP�RINTEiQDENT BTr �L4c-'L./ ...........................19'L_�.. <br /> T ' �P-1TEI: DPPA12Tn[ENT: <br /> fTY � liVL•'I;liP1'; <br /> I hereLy aPP�Y for the ase of «�ater in nccordance �cith thc rules and regu- <br /> lation:i of the �S'ater Ocpnrtmcnt, for purposes and fixtures stated Uelow. <br /> During tim timc thut miy of the �v;�tcr mnirs may Ue ta4:en uP �3' reason <br /> ot any improvementa auLhorized by the City of Evcrett, in or ol any etreell or <br /> ����Y �%� �vltich they may tiave becn Inid, thc City «�(�l not Le �eyuired to furnish <br /> wnter d�ring tLe progress af su�h � pravements to nuy cursumcr whose supply <br /> may thus bc r,ut off, or be Iiable fm� any dan�ages for i!s fnilure eo to do. <br /> Application No.:.��.��2 ' <br /> . ..................... <br /> lslocic.................!:i..�....�.:.. <br /> / --.j.ot....._�...... .._.... . . Add.............__....._........... . <br /> No._... `,�...(J U_� <br /> ..... _ . .l�n.c.�.......... � . .Strcet <br /> . <br /> ...................................._._t..............._' <br /> . .__................... .........'___..... <br /> ....... <br /> The-work to be executed b ,,..._._ _ � <br /> y..... � ./.. .��-.......................PlumUcr <br /> SCate size of tup. .� S <br /> ���X�����-TaP tn Ue inscrted in the r.iair.. <br /> -��-��......._Nater closet <br /> ....(...........Bn tl� <br /> ....L:......lJrinal <br /> ��Z........Plain 'nucet inside <br /> ...r......Side ��•alk �vashcr �- <br /> �-�-.....IIose bib outside <br />� ��G-...._zose Uib for building Pw•pos^s <br /> ...L:....fIose SiU inside <br /> L ...Bib for s'3blc contair.:n <br /> ............. <br /> g....................df�:i.................... <br /> �����`-::....Nu�nber of petacas ie: iamily <br /> ��-�����....Nvmbcr of roam= in building <br /> 1'he premises nr: to be used ns n... .. <br /> �-�� ....... <br /> '.'l�e owner of the premises is.,.,. -�¢�������������� <br /> �•... <br /> .c.c/�-��=2..p,�......�.......��. <br /> .hc agent is................................ <br /> . .................................................. .. <br /> This npplicntion, nithough signed, �hnll not be bindin <br /> aceepted by thx Superintendtnt oi the Nnter Departments uPon Lhe City, until <br /> C �'� <br /> S�ned..�...../l�....�...:..... � • <br /> ..L...!Ja'Lt�?,'> :�......A l� <br /> � _ ._ " ........ PP nt <br /> Accepted....:�..'..�� — � 7 " -� �, � -;' <br /> ......_-...192G.:. By...�:.,�.-!� :r . � <br /> /' -r;:.....1%„�.................._` <br /> �_ �- 8vperintenJent <br />
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