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1002 MAPLE ST 2016-01-01 MF Import
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1002 MAPLE ST 2016-01-01 MF Import
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Last modified
2/26/2017 11:14:39 AM
Creation date
2/26/2017 11:14:32 AM
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Template:
Address Document
Street Name
MAPLE ST
Street Number
1002
Imported From Microfiche
Yes
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.. ...,i_.�_.r)__a " I �.i�a_c� ''1-_ I C _ J.1 7��� I <br /> R'.D.I'orn�J-96n'�—E.P.Io.—L:G:S ' � . . - <br /> City of Eveiett•—V�T�ter Dep�i�tinent <br /> APPLICATION FOR WATER <br /> e111 Ul:mks must 6e filled in or crus�rd out <br /> Bvcrctt.................. �Q��Z.�.�......................_.....192...... <br /> TO 171L�' SUYLRIA`TPATDENI' Ob' TIIR 'ATER UEPARTJIliN'P: <br /> CITY OR liYliI:liTT: <br /> I hercUy npp'p for tbe use of���aler in accorda�ice «•ith tlic rtdes m�d regu- <br /> lutions o[ Um R'nter Depar.ntent, for pur�ioses nnd iixture5 ntatrd bclote. <br /> Dm�ing thc timc that nny of thc �ratcr mnins may bc lakcr. up bp renson <br /> of nny improceuronts autlmrized bg ti•e Cily of Ecerelt, in or af nny street or <br /> nllc>• in whirli Iluy mn3� hace bcen lnid, lhc City 1vi11 nut bc re�uired lo furnisl� <br /> �cater durin� tLe pirogrrsa ut surh improeemenLs to nuy consumm• �vliose suPP�l' <br /> m:q� tims 6c cut o[f, or bc liablc frr :my dum:�ges fnr rts fnilure su :.o do. <br /> Applicntian No...�'.�.�e..7..................... <br /> .. - . / ... ....\.. l --- - <br /> Glock.........._�.....�..�... ...._.. Lot........:. .... .':._..:_�..__. �dd......'...'__�.._!.... ._....... ..... <br /> i � _ <br /> No._./.�.o. a......-��!.. . -�................st«�t <br /> _ ._....... _..................................................................................._ _ ._............................. <br /> Tlie �cork lo be e�:ecuted bY..............__. ....... ................._.��.._... . .._PlmnUcr <br /> i � G--� <br /> Stnte Fizc of tnP• /iJ, <br /> .._�Z......Tnp to be inserted in the mnin. <br /> .__..�.....\Palcr closet <br /> ....._`.......I3nNi <br /> ......�:....Urinnl <br /> ..../.._ Flnin fnucet iusidc . <br /> ..... <br /> ......`:....Sidc u�alk �cnshcr ��^ <br /> . .1..........I�osc bib outsidc �/ <br /> .._�.......IIosc Uib for building purpnecs <br /> ..._�......FTosc biL insidc <br /> ......�....Bib tor stnble containing......._...........stall....._............ <br /> ....._�......Nnmbcr ot persons in Camilp <br /> ....�.......Number ot roams in Uuilding , ' <br /> The premises aro to be used ns n._ . .. ..C.-7_.-C..C�C�-.c..-G_..r-...._...... <br /> The owner of tue prcciises,-ik.... ._._. . . .f._.:.r.:t,(�.O-T.L--C� ' <br /> .... <br /> ''ic ngent is................__..._ .Y- "...... ...... ........_......._.................................................. <br /> �plication, nithoug� .�gned, shall not Ue Uinding upon tlm City, until <br /> thc Superintcn�i . of thc \Vatcr Department. <br /> � ),/� ; <br /> Fir,ned�.........�_�.'_.��`.Ir..fr�/'� APPlicnnt <br /> /� .... <br /> � � � <br /> C..��._..2.3392...... 13y.. .__ . /.;� <br /> . ............................ <br /> �... <br /> �� �!T'�.,,�'..Superinlcndent <br /> _'r <br />
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