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1023 GRAND AVE 2018-01-02 MF Import
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1023 GRAND AVE 2018-01-02 MF Import
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Last modified
4/15/2022 2:50:38 PM
Creation date
2/20/2017 3:14:34 PM
Metadata
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Template:
Address Document
Street Name
GRAND AVE
Street Number
1023
Imported From Microfiche
Yes
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.: <br /> c��r,v � _ ,3_ ?.r� <br /> `; �� -- . • ��-�.A.�..-.--� G —, ;,-vs rsn� <br /> �v.n.F•o:��—�soo—�.r.co.—s-zc-x� <br /> , City'of Everett---Water Department <br /> APPLICATION FOR WATER <br /> All blanks must be filled in or crossed out <br /> F.verett�......... �..�cc___.../..�...................._I92._S.. <br /> TO TIIE SUPERINTENDENT O E NATGR DEPARTMENT: <br /> CITY OF EVEI2CTT: <br /> I hereLy upP�Y for the use o[water in nccordm�ce with the rules nnd regu- <br /> Intians of the Water Depnrtment, for pm�pnses nnJ fixlures stnted bclow. <br /> During the time thnt nny of thc wnter mnins mny be taken up by renson <br /> of nny improvements authorized by the City o[ E��erett, in or of nny strect or <br /> ulley in which they mny hnve been Inid, the City will not be required to fumish <br /> � wnter during the progress uf such improvements to nny consumer whose suPP�Y <br /> mny thus bc cut otf, o/r�/Le linble for nny dmm�ges tor its fnilure so to do. <br /> Application No.....6�..�.�,..�� <br /> ................ , <br /> Block........................::.:.:....:.... Lot......�.::...... . Add.....:.....:........:: <br /> ^ � .................... <br /> ............ <br /> No......,l�.�d..�. �'A`GtiS... .......................Street <br /> v .. <br /> ............................................................................... ..... <br /> - ............... .... .............................. <br /> � ..._ . . <br /> The work to be esecuted by...._............. _ _.(� .plumber <br /> State size of tap. �� � <br /> // � .......6.�.�........ ' <br /> ...�2....Tnp to be inserted in tHe--rfinin, y a3�GCl� ��d <br /> -..-.1.........Wntcr claset <br /> ....�..........IIatl� <br /> . <br /> ................U n n n l <br /> .....,L` ...-•..Plain fnucet in=ide <br /> ........t—....SiJe walk a•eshcr <br /> ...._�.........Hose bib oulside �j- <br /> -....a�.Hose bib fot bui!ding purposes (j <br /> .._�.Hose bib ineidc <br /> ..L.�:..Hib for stnblc contnining....................stull..........._....... <br /> � -�-C..-:...A'um6er of persons in fnmily <br /> ....Uf-.Numbcr of raoms in building <br /> . The premises nre to be used ns n.. _.. ....�...�� ,.... <br /> .....�..-..}.-..�.......... <br /> The owner of the premises is.... .. .(jyuy-c�„1___ ,_ ��c,� ����_ <br /> ...................... <br /> Thengent is...................................................................................................................... <br /> 'rhis applicntion, nithough signed, stinll not be binding upon the City, until <br /> ncceP��Y� by the Superintendent of the Nater Depattment. <br /> SiSned�.........�.. p <br /> / .....�. . .: . <br /> [Y '..l�T.. )...........�Ap nt <br /> . ... . <br /> �,.. _tad... ........ _�.....10ZS. Hy.... ...� .. ..i�:..��_.............. <br /> / ..�:____.superintend ent <br /> l F <br />
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