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1107 PACIFIC AVE 2016-01-01 MF Import
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1107 PACIFIC AVE 2016-01-01 MF Import
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Last modified
2/25/2017 5:13:01 AM
Creation date
2/25/2017 5:12:46 AM
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Address Document
Street Name
PACIFIC AVE
Street Number
1107
Imported From Microfiche
Yes
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� , � ni-,'v , ,_ _ i_ .. <br /> w. n. Fcrm � I s.n J-;.V G.F. <br /> CITY Q;' EVERETT==Water Departm�nt <br /> Application for Water <br /> All blanks must be filled in nr crossed nul <br /> � �L� <br /> Everett.___'.__"______ _._____. 141 "._�_ <br /> ____-.//_ <br /> TO THE SUPGRINTENUIiNT OF THB WATF,R UBI'AR7'\71iR7', <br /> C17'Y Op g9ERETT: <br /> I hereby apply for tiic use of w;,ter in acrordance milh the rules and reKula- <br /> tium�:(7'he 1Vater Uepartm�nt. (nr pur;inseu :�nJ fisUins ctalcd bclou•. <br /> Guring the timr Ihal :my n( Ihr w�ter m�ins ma}•be taAen up by reaeon ��f <br /> any improremrnt.nuthoriacd bc[he(,?y o( @vcrett,in or of an7' sirecl nr alley ir, <br /> w:lich thcp may h:rve becn laid, thc Cily will nnt bc rcquircd to lumish wa(cr durinp; <br /> Ihe p�o�ress n(sudi improvements In�ny cnn=umer whnsc �upply may Ihus be�:ul <br /> nff.or bc linblc fnr:my damages fur ils failarv so Io do. <br /> '� : r' ,, <br /> App,icxtinn .Yu..._._1..�.."`_ <br /> '_ __ <br /> Block .._��_y__ S <br /> �q ___ ._._...__.___ <br /> _ __. <br /> \n."__.��.Q .F�_ ' ``` ___ ��/ <br /> '_'_�F� "_ ."_��' '"""" SlfeCt <br /> ____.__.. . _"_'_"_'. � <br /> . ' . ..'__'_' _" <br /> / ""'.___""_""^'-_"___' <br /> "I'hewnrktuheesccutcdby.___4.._ _ .��.t „(' Plumber <br /> St�te sizc of t�p. '��� � ) <br /> ._/�..Tap lo be inscrted in the main. � � . � . ., �� —� <br /> „ ' . <br /> --- '- --Na;crclo.��� j.. ,��Y �r.�!` . <br /> ---'----I3alh . ��� cJ�)� `i��`. , , � <br /> _._ ___ Urinnl .� ���/�i/ � �'� <br /> ' � � ,� ,. . :1� /,� /�. <br /> Ia n f�umt inEidc �, I �e . ��_�, �/ ,� �. <br /> ..-__."__Sid�� walk washrr �. -.� . . <br /> 1 . '+ j4�� <br /> _.____'._Nutebibuuteidc } �-... <br /> ._-.__.__.)ImebiLfnrbuildingpurpnsrs , ��� � ��`+� ,���. <br /> -- -. ___Ho�ebibinside �'���� �'� =�-+'b�. '� ' <br /> ' � ." '.".G- ,,.. <br /> -_"_'."_U�b for�table containing...____"__.sLill.__`+,,_.��—..",� <br /> ---_____'Numbern(pereunsinfnmily ... <br /> -- _�.__'Nirnber of rnoms iu building <br /> The premiscs are to br used as a_.�_;.�_._ . � <br /> _ ._._'..____.._.'_ <br /> _'_'-' <br /> The owner o�i the premires is _.__ I.__�f__�:c I�S_ ; !„'_!_,t i�': �.; <br /> - _..____',_'.'__ <br /> ThcaRentix .._____ ..__. � <br /> _ _.._._____"__ <br /> "_'_""'._'_"_ <br /> 'Phis epplicalion, although signed,shall not be binJinl;upmt the CitY. unlil ac- <br /> cepted bY I'he�uprrin�endent nf �e W ,Ucp�rlmrut. <br /> �. �. <br /> / ---� <br /> SiAned-- -�--._"_/�!/�_�'��1 ' -� ' ---------'��Plic;�nt <br /> __ _ <br /> :1r�epteJ �7 //_'19 � / <br /> ._.�.^S -'Y1' l.�'Zl BYy���I.'.._._ <br /> J "_c..__ "_'_'_' <br /> � �u,enni-nev� <br /> P-.<_-f` i-- y �, �..� <br />
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