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909 GRAND AVE 2018-01-02 MF Import
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909 GRAND AVE 2018-01-02 MF Import
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Last modified
4/15/2022 2:28:45 PM
Creation date
2/20/2017 9:57:30 PM
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Template:
Address Document
Street Name
GRAND AVE
Street Number
909
Imported From Microfiche
Yes
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CN�ii'"'��i r.4_'/.7 _ , ,'V 1� L/'_ / ^ " ���./ <br />� � <br />W. D. Fo�m a ISGO J-6 V C. P. <br />CITY OF EVERETT•=Water Department <br />Application for Water <br />All hlanks must be filled in or crocccJ o n <br />Everett._ __'.__'_'___.._"'_P__" F-___'_._.19Yc_'7. <br />'1'O THE SUPE2IN'I'ENDEN'1' (1F 1'HF: WATEN UEPARI'MEN7', <br />CPf}' OF EVERETT: <br />1 hrrcby apply (or the use o( �rater in accordance with the rulrs and rrgala� <br />tiuns of The Water Uepartment, for purposea and fistures stated below. <br />During tl�e time that any of the water mtins may br t�ken up by re::son ot <br />any improvemen[s autl�orized hy the Ciq� n! Everett, in nr of nny stmet ��r alle}• in <br />a•hich they may hnve been laid, tl�e City ���ill not be required to lurnish waler uurinF <br />the prn�.resa of such improvemen[s tu nny cnnsume� x�ha�e sopplp ma>• thus Ge cu[ <br />n((. ur bc 1ia61c for any damaKes G�r its (aiiure sn to do. <br />Applirntinn No..""'. �� J � <br />".___'____ <br />Rlock �73 _�_---y-Lut__�=".�''___..__'__.AdJ._._. .._.'-__'___' <br />___. � � /J <br />"__\o.__-.'�1. 0..�. '__�/�.CLlS�'—OF'.._._____'Strect___.__ <br />__ . __4____ � .'_'_._____' <br />'fhex�orktoheexerutcdby__'_..__'_"— ��---- _--...--Plumber <br />ta e sar uf tap. <br />00 <br />'_y__'__"Pnp tn br inser�e<I in the main. �� <br />�q � ` <br />_____I N'ntcr clnset �� � <br />._.�__'_.Bath �/�' <br />___..._ .Urinal <br />___'.___}'I:�in faucet inside � -�«,�-�;'� �� .. <br />"_SiAe ��alk �vashrr '?;�,.;:�. <br />_._____' � � <br />'_linse bib onlside . - . . <br />.____'__.Hose biL fnrhuilding purpu.es . <br />_ ________Hosebibinsidc /j� � <br />_ __._'."_Hib tor stahle cnntaining __ _ --_. -- -. stall_ _ _. . . _ _' <br />__./_.____Numbero[persunsin(amily , <br />. _ (�___"Numbcr n( raoms in buildinp <br />'fhcPremises�rtetubeusrdasa_____...____-_._'_..__.._.____._"' "".. <br />"1'he no�ner af [he premisrs is .. _ _' . . - _ _'. . _ - . _ . ... . . . _ _' . _ . _ . _' _""_ _ _" <br />TheaKenlis'__'.__._..._'_._""'_'_ .....'____'_"'_'_.__ ___. ___ <br />This :�ppli�atinn. althoug igncd. shal ��I r hi Iinti u{xm the CitY. �intil ac- <br />' hy I he SuP�•rimende ut th 1Vxt i Departm t. <br />d t.%'��.�K.�3iQnrd. _-'- - .—_... . _ . .f-.--- p�icanl <br />1 <br />��., ::;.x:»�� �' Y�f �2�- ,�� i�>� �/� ;_ a/ - - � <br />. ..''ia"�3;.,:�r_ , . emnreni <br />•.�_ <br />\. � . <br />
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