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3015 LOMBARD AVE 2016-01-01 MF Import
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3015 LOMBARD AVE 2016-01-01 MF Import
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Last modified
2/17/2017 7:17:36 PM
Creation date
2/17/2017 7:17:30 PM
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Template:
Address Document
Street Name
LOMBARD AVE
Street Number
3015
Imported From Microfiche
Yes
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--�• � <br /> � <br /> ; <br /> � <br /> , , . <br /> . < _ _ _ _ ,,, ,. � . - <br /> . <br /> \t.U.Fann.I- Il,iiO—P:-P.Co.--b-:G-2G <br /> City of Everett---Water Dep�rtinent <br /> �PP:LTCl�r�1.O� 1 OJ-\ •� 1 ]. 1 SJl\ <br /> :lll lil:mks nmst Le filled in or crossed out <br /> �,��,���t.................��ld/.�c..._ J � �� <br /> .._........ . .. n2 ... <br /> TO 'fii� SUPEI;INTEND�N7' OP TAP TA.A'PLP. D�F9RT3fENT: <br /> , CITY OF EV�RCTT: <br /> I liereUy appiy fnr the use of wuter in necord:mce yvith thc rules und rrgu- <br /> Ir.tiona ot the Water Department, for pu�puses and iis;ures stnted bclorv, � <br /> During tlie lime thut any of tim watcr mnins mny Ue taken uP Ly rcascn <br /> of nng improvemeats authorizad Uy the CiLy of E��erett, in or of sny strneL or <br /> n!Iey in �chich they may havo bcen laid, tlie City will nr; be required to fm�nisii <br /> a'ater during the proqress of such improvemer.ts to sny con.:umer �vhuse supply <br /> ia:�.y tht�s Uc cut off, or/b'e/]inble fu: any damages for ile failure so to do. <br /> AnNication No.�.C?..Y:.�.....__'-.._....f ���3 <br /> f ,.,.� l � <br /> t locl:.._ ° (.._" 'T.o. .._.. Add.. .. .. <br /> �,. ._.J Q%� .__ Gir� r-u-t-e� seT��� _ <br /> _ _ _. ..__ ... ._.._.._....._.__........._....____ ............ .........._. _.. ..__ ___............__..... <br /> The work lo be esecuted by....IC .a �... . ..Plumt.cr , <br /> r��_ _ � � . <br /> _ . <br /> S:a�.e, size of tap. J � ��` � 0'.J J �/ � <br /> .._�L. .Tnp to bc ;nscrted in thc main. <br /> _....�......R'nter closet <br /> ._._�.........L'ntl� <br /> ...... .......li rinnl ,�. <br /> ..._Z..-......Plain faucet irsidc .....��' . <br /> ........-._...Side �v�lk wrsher ' :� <br /> ....._�.._.....Hose bib outside � <br /> .......-.:�......I�ose bib for building purposes <br /> -_.._-.:....Aose bib inside <br /> ....... ......Bib for stable contnining....................stall._................. <br /> .....:..........A'umber of Pcrsons in fan�ily <br /> ......`.�.. .Number of roams m bmldin� /� <br /> The premises urc to be used as a�/.. /"1.5�� . . ......... .. <br /> TUe o�;�ner of the preln�ses �s . �... � � ' -///� <br /> � L . ...�%L � .....:. r ._.........._. <br /> Theagent is...................................................................................................................... <br /> TLis application, nithough signed, ahall not be binding upon khe City, until <br /> accept.�d by the Superintendent of the N er Dep rtme t. <br /> Signed...�.........LI..L.... ��/�� ....Applicnnt <br /> ........ ... .. . .� <br /> � � ' <br /> A�cegt�d....�7.7f-.......r.:.. ... ._...192� By........:.. ....:... .. . ........._..--........ <br /> � uPerintendent � <br />
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