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2529 E GRAND AVE 2016-01-01 MF Import
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2529 E GRAND AVE 2016-01-01 MF Import
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Last modified
2/20/2017 2:40:30 PM
Creation date
2/20/2017 2:40:25 PM
Metadata
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Template:
Address Document
Street Name
E GRAND AVE
Street Number
2529
Imported From Microfiche
Yes
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s <br />' <br /> �.��� :�-�� � _ � �� _ F„�ti� �' �- �w�-�,��l <br /> R'.0.Ponn<-1E00—E.P.Co.—�-24�21 ' � <br /> City•of Everett-�Water Dep�l�t�nent <br /> APPLICA'I'IDN FOR WATER <br /> All binnks must be filled in or crossed out <br /> Everett....,.�........... . . .... ... ... �..�.�-................._192-:?. <br /> TO Tlili SUPERINTENDE'2T OF�tl� . �PATF.R �.PAI2T➢IB\'T: <br /> C1TYb EV1�I2GT='; <br /> I hereby npplg tor the use of t�•ater in :iccordance with the rules and regu- <br /> Intions ot thc R'ntcr Depnrtment, for pw'pores nnd fistures sla!ed bclo�v. <br /> During lhc lime th�t nny of the walcr �uaius mny be Uikcu up 6p rcason <br /> o[ e.n�• improvements authorized by the Citq aC Hccrctt, in ur af uny slreet or <br /> nllep in �vhirh ihcp may hnce becn Inid, the City will not bc required to furnish <br /> � c:::Wr during tLe progress o[ such improcements to any consumer ���hose sUpply <br /> m::y thus bc cut ott, o�rj b�c7 l-iu7ble for �my dau�ages for its tailuro so lo do. <br /> Applicntian A'o......0... .P....l....�J.................. <br /> q . ' <br /> Block......._'SOZ'7�..... LqJ((�..... ._...... ..��......__... ....... Add............ ... .._.............._ ... <br /> No.....p�..J...o�./.... ..✓�..y.....�. .`�.7.�..�.GC�:c_.�.......Strnet <br /> � <br /> _... .._......_...__.................................Y............._..... . ........ ..... ....... ............................ � <br /> The wm�k to be eaccuted b ,�j(��."'�r.�l----.... ......Plumber <br /> Sl�+te sizc of tnp. <br /> ..��Z....Tap to be inscrted in tUe main. <br /> ...../_.......Nntcr doset � <br /> �.......Bnth <br /> `_ . � <br /> ................Urmnl (, <br /> ....y:.....Plain faucet inside ��� �- � <br /> , .... ' � � --. <br /> .._..�.......Sidc �cnik �vnshcr /: . ; ' <br /> ......�........IIose bib outsidc <br /> ....._�....Hose bib tor building purposes <br /> .......".��.....Hosc UiU inside <br /> .......—:...BiL for slaUle contnining....................stall............._..... <br /> ......_�:..Numbcr of persons in tamily <br /> ...._L�...Number of rooms in building <br /> The premises are to bc used ns n..........��.: ...... ........_ . . . . <br /> Thc owner of the Premises is.......y.{� .. . . . . .. . � <br /> Thc agent is................_..._........_..._..................�..............�............ <br /> ... ......................... ......... <br /> This npplicntian, nithough signed, ahnll not 6e binding upon the City, until ; <br /> nccepted by lhe Superintendent of the R'nter Depnrtment. <br /> 3iGned....��........... ^ � . <br /> ...1.�6i........ ........... ......_...........,�...._J�PPlicnnt <br /> / <br /> . � �n;ed.._�:' ..�..�.Jf�-:_._192J. -- By...._...���'� -'L:f�'-'�......:........ � <br /> ....�...�............._ , .... <br /> ` ' --•-Supermtendent <br />
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