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2101 HEWITT AVE 2016-01-01 MF Import
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2101 HEWITT AVE 2016-01-01 MF Import
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Last modified
2/20/2017 8:50:27 AM
Creation date
2/20/2017 8:50:18 AM
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Address Document
Street Name
HEWITT AVE
Street Number
2101
Imported From Microfiche
Yes
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� ' �-Nr� 6 — I� _ '. '-_ !'i . <br /> . o � <br /> N'. D. Fcrm� 1500 J-1-17 C.P. <br /> CITV 0� EVERETT==Water Department <br /> A�rplication for Water <br /> All blanAs musl oe filled in or crosseA oul <br /> r•..��«u. __bl-��S ------ .�s�.-_'�- <br /> 'PO TII14 SUPBRINTF:NUF.N'1'OF TIIE NATER UCPARTTICNT, <br /> CI1'1'OF E'lGRETT: <br /> 1 he,eby apply (or tlie use nf����ter in :�ccordance wilh Ihc rules and regula� <br /> tions nf The Wa[er Ucpartment, tnr purposes and fismres stared below. <br /> UurinF the time that :my u(the wntrr mains may�e tnken up bY reason of <br /> :my imPrnve.nents authnrized br ll�e City nf Ecerett,in�r o( any strcet ��r ollcy in <br /> which lhry nn>'have been laid. thv CitY�•ill not be rcq��ired to Nrnish watcr during <br /> the prnFress n(such improveracr.ts In any cansumrr ��'hose supp�y mny thus be cut <br /> ni(. on c� IiaLlc(ur anp domag�s foi its failure so to du. <br /> :\ppliCntan Nn.'_"'7 •s 3.�.""' <br /> si���i� 662- - - i.�,� -�-3- --- --._,�aa_ -- --- - - - <br /> Nu."_/�y ,,j��:�/ _.__'_.. [rert <br /> . _._._�.�+C/-..✓-�/ . �i7,.G__'C_1' !l-�r1 S '___" <br /> �_' _' <br /> "_"""""' <br /> � . . <br /> " <br /> 'Phr 'a�ork to bc e�eculed b)' -'- "--' — Plumber <br /> - ' _"_"'_" _'_'_"_"__ <br /> $�ate sisc uf lap. <br /> �(_.' <br /> _TaP to be inserted in�he main. <br /> -"T"_'\�':ncr docrt <br /> _._.'_.'_8ath <br /> .__._._ .Urinai � <br /> ____"___.1'lain (aucc� inside <br /> . ____""Sidc wall�rasher <br /> _____'__._Ilose bib oulside <br /> .________.}Iose bih for building p��rpnscs <br /> _.---_--Hosc bib inside <br /> .___'-"'Uib(or�[a6ie containin6....---_..__slall__....___ <br /> .•- ____. .__.Numbcrnfpersnnsinfamil�. <br /> �> > <br /> ' ' ___"_""Number of rnnms iu br.ildiiy�t_ � �,,,� • <br /> . . . 'Phe p�emises are to Le uscd ns a ___PR./�.'�='-tip-_".._____._-.._'_ __:'. <br /> �`.. .'y`. .I'he nwner of the prem ises is- ___'-.- <br /> �_. rp.p _._'___..'_______________'.____"'.___ <br /> i� ;.14`& � .neaRenr. is . _._------_" '------�---"-------------------- <br /> �,• . . Tiiis aPPlicatiun, althougl� signcd,shall nn� be bindinq upon thc Ciq�, until ao <br /> r,nlyd bp The Superin�enden}yLthe \Pn,trer Uepurlmcut�. <br /> - SiFned��'"'_�*�I['n-��" -CB•.._ -".'_.____Applicant <br /> 'r' ' 7 py <br /> • . <br /> '�.eceplcJ_�.,..'_.�}'_'___l!)t' (ly( . . . . __ � _ a(d�q, <br /> ,� �- ,.�G�:����� ,/�! <br /> .,=,,�'_- <br />
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