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3923 GRAND AVE 2016-01-01 MF Import
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3923 GRAND AVE 2016-01-01 MF Import
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Last modified
5/5/2017 12:59:30 AM
Creation date
2/20/2017 9:13:43 PM
Metadata
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Template:
Address Document
Street Name
GRAND AVE
Street Number
3923
Imported From Microfiche
Yes
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j�A.�r ,. -. .— �'r.zY,� <br />� ni—') 7_`/':-:. . <br />. . <br />N'. D. Forn, � ISCO J-I-17 C. P. � <br />CITY OF EVERETTQ=Water Department <br />Application for Water <br />All blanks mus[ �Iled ir. or cmcse�i <br />�/ / <br />Evcre:L__ �__"'_'/__ C�.`'_'. _"'______19 __"__ <br />f0 '1'HE SUPIiRINTENDh:N7' (�Fl HE WATF.R UEI?4KThIENT, <br />. C�'I'Y OF E`lgRETT: <br />f oereby apU�S Gm thc use of �rater in a[rnrdance aith Uie rules and regul:o- <br />.i�ms u( The Water Uepar:m: nt, (ur purpases and fixtm�es st�led below. <br />DurinN �he time that nny of the water mains may be [aken up Gy reasnn of <br />:���Y ����Prnvements au[hnrizeel by the City ot Everett, in or of any street nr alley in <br />�vhich thcy m�p� ha�•c been I�id, ihc City� «�i11 not Le rryuired to (urnish iearer durinti <br />the prugress nf such impruvements tu ;�ny consumer w�hnse supply may thus be cut <br />�d(. ur bc linblc for noy %datn�jaK�f+ �fn�rjits (:�ilure so tu dn. <br />Applica[ion Nn.__.L__ /. . �!_./_. _'__' <br />. Rlock.__""__'"._'.'1�"__'_'.. 1dd__"" <br />�._ _ --____-__. <br />__._'_..' <br />:" ,��. - -�T''-��-' — -----`f-�- ----- ----- .s««i <br />.------- -- --- -- --- ----- <br />7'h�ewnrA�nbeesrcutrd65'_____________"__.___'_. .'___..___'-___ Plumber <br />$t:qr ae ( G�p. p U <br />Y�..�Tap ln bc inscAed in ihe main. �/� i <br />_ ---�.._tva�crclo�et <br />"""' _ _. Nath <br />___. '1 .Urinal <br />_ __Y. _Plain faucet in�idc <br />. __"'_._Side w•alA �cachrr <br />_ . _ _' _ . _ Hnse bib nutside <br />___"_._.Nose bib (orbuilJinF purpi�,es <br />_ _ _' _ "_ Hose bib inside <br />_"'_""_Bib for stablc containinF-__'.. _ _ ._ _ _s�all'. _ _ ."'_' <br />'___ _Numbrr af persnns in family. <br />___'�_Number o( roums in building . <br />9'heVremisesarclnLcusedasa'. .__ _ ____. . _/.��/{ _�.,_,,_�.�.___ • <br />Thcowneruf[6epfemisesis _ ''�__�j'p_(i*�1,.�_____'_ <br />" agent is __. � <br />Dlica�ion. allhough signc<I, shall not 6c binJing upr�n Ihc Cily. until ao <br />, �� 1' • viipi•rimenden o( the R'nter Uepnt ment. <br />Siqned_}J_ttf<t�L���`. .__�..__ Ap,lican[ <br />_ . __ <br />'+� / _ J. <br />�i,t... p�rd���l._�,:_�_�.�91 I3y" _' ' ' R�/ _ <br />� (�'� ' �intm�v,t 1 / <br />•� . � 'I V <br />
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