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2936 LOMBARD AVE 2016-01-01 MF Import
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2936 LOMBARD AVE 2016-01-01 MF Import
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Last modified
2/17/2017 7:09:52 PM
Creation date
2/17/2017 7:09:31 PM
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Address Document
Street Name
LOMBARD AVE
Street Number
2936
Imported From Microfiche
Yes
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t // / D .� _ •� — ] 3 � _ <br /> - ���!,J 4_� ,--.—:;, <br /> V;. D. Pa•�n 4 I SCO 3-�.�i . . � •• . . <br /> CITY OF EVER[�T !'==Water Departmeirt <br /> �pplica�.ion for Water <br /> All bla,iks must Ue G�'ed in o:crosard mi � <br /> — � rJ / <br /> � `/� <br /> E��crett.____..__ ___ __/_/_ _ ...___.._. _:9�..____ <br /> '�U "1'l1E SUPIiRINTG'.DIiN7'OI�THG�iTBR DEPAItTMENT, <br /> CI"1'Y OP i:`/GRE77: <br /> I herebp app1Y for Pie use o(water in ncrnrdance with the rules a•id regula� <br /> tion;n['Che Wu[cr D_p�rlmen[, far pnrpnses :md flxtures stated 6elo�v. <br /> Durin�; the iime th:,i any of Ihe waler mains may be iaken up by rcason of <br /> an�� imprnvements.,uthnrizcd br the Ci�y ot iivcret.,in nr nf 'my sVicet or alley in <br /> �shich they m:iy hnce heen laid, the Cily wi11 not Ue rr�uired to furni:,h wa[er durii�F� <br /> the pc��ress of such improeements fo any consume� whose supply may thus be cut <br /> -�If. nr be liahle for any dama�es tsx its (ailure so to do. <br /> �O 6 <br /> Apnlicntinn Na.._ '__ <br /> '_' '__"'__ <br /> ."'`�luck _"�'__.__". oL_ "_" � ' �: . Add'___' <br /> . .___. ._ ___. __ <br /> ,,�. -� 3G _ . <br /> --- ----- <br /> __2:-- - -. .cL`------ ---- --_s«�« <br /> - - ----- -- - - - <br /> �fhtwnrk �obeesecntedbY..._..___'_" ..._ . __ Ylum6er � <br /> Sta2fe�v /roft.p. . . �-_ ._�. <br /> �j!�'Ta-.� fr: b�� in.cr�ed in thc ��iain. <br /> '__-Z"1Vatcr dr�sel <br /> -__'�_.[3a it� <br /> -` ' / ! � � Ui <br /> - -[1�1�1J� ��� <br /> _.v��plain taucet inaide � <br /> -_ '__Sidr �vaik �a:rshcr <br /> l <br /> __ ."�'_liuse hib uulside <br /> --____�_-Hosc bib li��rbuilding purpuse= <br /> . _ -_'___Hosebibin�ide <br /> _ - <br /> ______ .._[3ibforstau;ecn�iC�iring .__ .._.__ stall <br /> ___ <br /> �__ . .._Nmnbrr�dpersm.� in (amil}, <br /> __�l� "Iumber o( ranms in bu;l.ling <br /> "I'hepremisesaretnbeusrdasa____ ._�!-Frt..�>-s-•--_r _.____ . -. <br /> _._. <br /> � "1'he nwncr u[the premises ie '_'_' �'-��tret . • <br /> ""�."___ _"' "' <br /> � 1'hea{:entis '_"__'_ ..._.___ <br /> . ._ ___'_'_�_'_" '._.__'__'__"_" .'_""_'__'_ <br /> �6is applica:in��, :JthuuB����e��ed, shall nut be binding upnn the City, until ao <br /> Ly 1'hc Scpp,rintenJent of the Water Uepartmcn[. <br /> � ,/�` <br /> .. `": ` 1 �+ / <br /> Si{;ned -�--7-7'1^��.__--/_�n..-ic��i,__`��_(� '2-CMrplicant ( <br /> -y(� / <br /> "__'_' <br /> � �.,�..epted __ _. .._------. 191 I35'--/_,•�''�-k_-_ ��.G 1/--- { <br /> � (��� / :'l'i:iS'�'�ie^!cm __ <br /> . - � // <br /> Y <br />
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