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1619 PINE ST 2016-01-01 MF Import
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1619 PINE ST 2016-01-01 MF Import
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Last modified
2/24/2017 1:26:29 PM
Creation date
2/24/2017 1:26:25 PM
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Template:
Address Document
Street Name
PINE ST
Street Number
1619
Imported From Microfiche
Yes
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! Cify of EvareR--Water Dept. <br /> '� TURN ON ORDER �;�_ 52218 <br /> � � �' �l - � �� <br /> � TAP No.... ._��G��:'...'/.... �� Gi: 4� . <br /> ��I ...................................19G'.... <br /> ............................... <br /> i Subjecl to �our�r)egular rul �and re6ulalions, please turn on the �vater <br /> I_,c:L:�.?.�:�..._............................................................ Strcet <br /> al .............../..::1._/............ <br /> � La�t tenant was.............................................. Owner or Agent is................................................ , <br /> � �Vater rales will be Paid by.................yr__r..........,.................................................................. <br /> . �✓� -�% . � . �" ....J ...�.......... <br /> , SiSned........7�_�is...t-t'.:t:�::a.a:i.�.L.L�:.�1.2..:.�.... _ <br /> i / <br /> ICASffiER'S RECORD Aba��pP��calion is pro ed� <br /> I IRemarks:'..C•.............:�--C��-..._�..:.............. <br /> Tap No.............Amount Due$................... <br /> . Casl�icr ........................ <br /> .............................................. <br /> T.i�No..........._Amount Pu�y..... ............�IUsed�calcr aL..._....... ���p No...._......... .. <br /> •� . <br /> . ......... ... <br /> ........._....1.......:.._...Superintendent <br /> �I......................... . <br /> _........................ ... _... ....... --._—.__— —... <br /> ' INSPECTOR'S RECORD <br /> j Insp�d and Wrned on.............................._........1�JG...._.. � <br /> . Cla_s of SuildinS................................................................................................................................ <br /> ............................................ <br /> Localion stop and wnsle.................................................................... . <br /> ', �9atec doset, Privale or public.............._.........................._....Bath tubs, private or puUlic <br /> � ._.......................................Urinals......................................0utsidc liosc bibs................................ <br /> �, . .... Cows...._._........... <br /> Plain biUs........................ IIarUcr Chnirs............_....__ IIurses.............. ... <br /> �� H.P.Boilers........................._.....Rooms..........................._._ Nalcr Motors......._..........._.......... • <br /> i <br /> , Firc Plugs.................................................... <br /> Charge for water Uegins on..................................... <br /> .......IOG........ � <br /> Remarks......................... .........._ �/ <br /> ............ ..__........................_..................................................... <br /> k_ l..L.i..��o Cc...� <br /> .......... <br /> � ,.-r�� �` . .. .. . <br /> ........................... <br /> ..�....... ...... ................ <br /> ..................................... <br /> ..................` <br /> . ....... ....... <br /> < �5.�...C,. , ................................ <br /> � , .......,.... ................. <br /> 1............................................................. <br /> ............. <br /> ................................ <br /> ......................................................................................................................... <br /> I � .............................................................. <br /> .................................................... <br /> ................................. <br /> '� .......Inspector <br /> ................................ �--- <br /> --- ---------_—__—:__._------'-- <br /> ACCOUNTING Ralc. .............. .... .......I�JG..S... <br /> DEPART�iENT <br /> ...........................Enlcred................ ...':. b: <br /> Block_............_...........__. Lot............_.................. TaP No.._........................................n-.............. <br /> �°�5 _..._.... _........................ ..... . . <br /> _..._..........................._�'LL?.. <br /> Cashier <br />
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