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1120 MAPLE ST 2016-01-01 MF Import
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1120 MAPLE ST 2016-01-01 MF Import
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Last modified
2/26/2017 11:32:55 AM
Creation date
2/26/2017 11:32:42 AM
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Template:
Address Document
Street Name
MAPLE ST
Street Number
1120
Imported From Microfiche
Yes
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/ . " �.�})�I.��+ �; � ,. �- � 1'� � ' <br /> �v: .\.tti�.{_. /f' ..; . . � , . . <br /> p'.[l.I'urm��1600-E.I•.Ca-6.26-'1� � ' <br /> "icy of Everett--Water Depai•tment <br /> ., 'LICATION FOR WATER <br /> ' All bLmks must bc filled in or crossed out <br /> �I,� F.vcrett.........................._L' � ..192..7- <br /> �.,_......�....................... <br /> �'�l, THE SUPERINTCND1iNT OF TI�P R'.4T�R DEPAI:TDIP•.NT: <br /> /� CITY OP �\'C1:tiTT: <br /> I hercUy npplp for tl�c use oC water in accnrdnnce�eith the rules nnd regu- <br /> lations ot thc �1'ntcr Ueparhnent, for purtroecs and ti:'ures slated bclo�v. <br /> Dm�irg thc lime thnt any o[ thc �vnter ninins mn3' Ue tni:en u�i by rensnn <br /> of nny inpro��emm�ts authorized Uy tLe City oC licemlt, in or of nny sLreeL or <br /> alle.y in which thep may hnee bcen lnid, the City will not be re�uimd to furnisli <br /> water d:.rin�; lhe p�rogresa uf such intprm•ements Lo nny consumer whose supply <br /> may thus Lc cut nft, nr Uc liqnblc for :my damnges for its failure so lo Jo. <br /> Applicntion \'o....�..�IdS...........-.....7�g 2 . .._ . _ . <br /> ➢lock............"Y 7..�...�.�_ �' �` . Add...��......_.:.�.. <br /> _.._ LoL............ .... .__................ <br /> No...��.ozQ..._"/.1�-.l...//...... . . .Strcet � <br /> i _ ..... .._.......................--._..................................................................... .........._........................ <br /> , �' The a�m�k tn bc exccuted bY..__�� a.G.._..... .. _.._. ...._.... . _.. ......Plumber <br /> � Statc sir.e oC tnp. <br /> .�3..�_Tap to be inserted in tLe m��in. . <br /> _._..... \1'nte� closet <br /> ........-:....13nth . . <br /> .......—.....Urinnl .S,."c�:l;!._ . <br /> .... _,....._..__.._. <br /> .....Ze....Plain fnucet inside <br /> ......_'....Sidc �vnik �vashcr . . <br /> ...__(.......Ilose biU oulside <br /> ..._.:.-.....Ilosc bib for building pnrposes <br /> ._.._-�......Flose bib inside <br /> .....-.._....Iiib for slnble contnining........._.._....st.11_.............._.. <br /> ....%.........Tumbm• ot persons in fn�oily <br /> .....�.:....NumUer of roums in building � <br /> The premises nre to be used ns n. ........_. .��.."_..___............................ <br /> Thc o«•ner of the Premiscs is... . _... ....._ .. . _...?�.�....._._........._. <br /> ThcngenL is................_....................... ............._._..._.........._......................._.............. / <br /> This npplicntion, nithough =igned, shall not be Linding upon the City, until <br /> nccepted by the Superintendent o[ the \Vnter Depnrtmen:, <br /> Si gn ed.v�........CT.�.�.���--P......�...........................................A pplicnn� <br /> � J7�) �^',c. /J <br /> Accepted.......�P....��..-....192� B�.......,/iU_......Y� "' ��t.'f"..� <br /> �� perintendent <br /> �v �= 1 �" <br />
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