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2801 PACIFIC AVE 2016-01-01 MF Import
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2801 PACIFIC AVE 2016-01-01 MF Import
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Last modified
2/25/2017 7:08:28 AM
Creation date
2/25/2017 7:08:23 AM
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Address Document
Street Name
PACIFIC AVE
Street Number
2801
Imported From Microfiche
Yes
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��/fiN - . . . �.- N ' .. - IG—L.� `'.!j <br /> W. D. Form ♦ I500 3-1-V C.P. <br /> GITY OF EVERETT==Water Department <br /> Application for Water <br /> All blanks must bc filled in�r erossed nut <br /> Eeerelt._'__.__'_______""_�_��__'___1M"�_.}�--- <br /> TO THE SUP6RIN7'I?NUISNT OF TI1E\VATER DEPAKTMHNT, <br /> CITl' UF tiYERETY: � <br /> I hereby apply fnr ihe use o(water in nccordrnce w'ith the rules and reRula� <br /> ti.iti��f The Water Dtpar�mnn4 !nr purPnses anA fizWres stmed bclmc. <br /> During the lime that am ni thc a'atcr ma�ns may be takrn up by rcason o[ <br /> any improvements authorized by ihr Ci1y�f Ecerett.in ��r of any sirret �r a11eY in <br /> �ehich tl�ey maY have been laid, the Ciq• �5'ill �nt bc rcquirrd lu lu�nish water durine <br /> the pm�ress uf such improvements tn am•cnnsumer w�hnse supply may thus be cut <br /> aff,or bc liablc for anq dam��K�s fur Cit�.failurc =_o to do. <br /> Applirnl:/, :pKo.._"__`f- 7_�'l.'_' �7 <br /> 131ock "� 1_�__ . _Lo4-�-�- 7_ .___.A�Li.___. _._.__ ._._._- <br /> �n.�. ��� _� -'-- -- • . _'---.Street <br /> ��-- -----'- -"_. <br /> -._.-- �---- - -----'-- <br /> '----------'- <br /> '-��Phe xrork �n be executcd 63'�----'-" '--' "--' -'---"'----. Plumber <br /> State size of�np. '� , <br /> -�! f <br /> y_"'1'xp l0 6e i��::ened in the main. r ,1 \� <br /> --J-'_-.11'atcr dnset f v <br /> '_J'"___'Bath <br /> __�_.. .Urinal <br /> _____�__Plain (auccl insidc <br /> ---=5idc�valk w�ashcr �. �\ . <br /> _" '—Hnse bib oWsidr 1 � I . <br /> �—_.Ilose hib inr huilding pw-p�scs . <br /> __..__ _Hnsc biU insidc . . <br /> �—=..13ib G�r stablc containing..------�---stall._ _-..- <br /> , ___z�_NumLcr n(Vcre�rns in family <br /> _ }-�_"" h I , , �1 ' � <br /> Num6cr nf ruums in Luilding • <br /> Thepremisesaret��bcusrdasa_.-- /Y.`�.---�""�"�`�����-Jp��-� -�� -- ---- '" <br /> Thc uwncr o(thc Premisrs is ..__�.-�r-�--`-"^"-"�---------`-�-- <br /> TheaKentis '_-. ._ .-_'__. . . -__-_'_- . <br /> This apPlicatinn. allhou�h �i�;ned,shall nui Fe Linding upon the Ciry'. until ac� <br /> rpled bY'Phc Superintendcnl of Ihe_1Vrder Drpartmrnt. <br /> (/L �l -�-• <br /> �Kned CL.AJt2�Pi« .______.._ApPlicant <br /> ______.__. � . <br /> 1 <br /> Acccn�ea__._.._ _--. _.-tst t�p._ .�_�. . ._. . . .--.._...__. <br />
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