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1121 MAPLE ST 2016-01-01 MF Import
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1121 MAPLE ST 2016-01-01 MF Import
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Last modified
2/26/2017 11:34:03 AM
Creation date
2/26/2017 11:33:52 AM
Metadata
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Template:
Address Document
Street Name
MAPLE ST
Street Number
1121
Imported From Microfiche
Yes
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I <br /> i <br />� <br /> -�� <br /> li - i L - n� i-�i'Y"� <br />� i:C1.s+u_C..1 1--7- :�_—i ri ,.. . <br /> �—. � <br /> 1\'.I).Fovn 1-; :i•�u-1�:.C.Cu.—G"_G-2! � � � � • <br /> City of Ev?rettrWater Depai'tinertt <br /> ' {� ` T�ON FOR wATER <br /> .,, <br /> E � ��LICA <br /> .. �� <br /> � � �� ' Alt blmil:s must Lc i—������_�� °T crossed out <br /> 1 �f�..�J ..192.L�. <br /> , ................_. <br /> ... <br /> �c c r e t L........................... .. <br /> . �•�, I'�1 '1 uE SUPLI:INTtiND�NCITT OR lV�RF.TT I�PPAI'iT11E:d'C: <br /> I , <br /> ^' 1 1rereUy :+]>PIY for the use ot ��:�ler in nrcarlance �eitli Lhc rulcs and regu- <br /> �nlim�sDw�ing lhettime tli�nttanYtotf thc w ter mni�nsima}•,UC lniccn l�'�>' rensmi <br /> u(le���i'i1tch'tcli theytmnY h;ti�e U�een}lnid, I�e3Ci}Iwill noL�be mquiredYto�furnish <br /> mc}'�thas�Uc• cut oft or�l,�c �tas�f,�y,a°y`�II°��Ses�fur its�t�i Iurc�so�to5dat�PP�y <br /> v �J b.��.... � � ' � <br /> Applicntinn No......0... ........ .`..... <br /> O ' <br /> __......... ._. <br /> I31od:........o.�..t...�..�...._/.. �..�..... Lot.....�..�._y../.�._........ .... ....._ Add._.....:... <br /> / //'/�/ �(iy/�1,.�........._......Strect � <br /> l�To..../��/.� /.........._�.."_.'_.'......... <br /> J.. <br /> . ...:.: ........ .... <br /> ...... .. .. . ...... , � \ P <br /> . _..... ... ..... i <br /> ......_ . .__... q ' .... lun�ber � <br /> The wm�k to be executed bY..�..��..�1i/-7-� .._.. . <br /> Stat size of tnP• ' �' <br /> ...��Z...Tnp to bc inserled iu tUe mai;i . , . , . . � <br /> .......�.......n'ntar closet .. �'J',�:... . <br /> ✓ <br /> ........�.......Bntli . � <br /> __ <br /> ................li r i n n 1 <br /> ,..._..�:..Plnin fnucet insidc , <br /> .......... .Side �vnik �casher � <br /> .........�.....I�o=e biU out�ide <br /> ..__....—�..Iiosc bib for building P��rposes ' <br /> ........._—liose bib inside <br /> ...._,....—.BiL for stnUlc containin <br /> g....................stnll........._......... <br /> ..._.....-..-1Vumbcr af persans in fnmily <br /> .,,,,,�.......Numbcr of rooms in building <br /> _ _.........�... <br /> .... ......................... <br /> The PTemises nrc to bc used as � � yr,ut... <br /> _� <br /> . . <br /> The mcnrr of tl�e prcr.i�ses �s.... .... ...L�.n«n.. . . <br /> ......... ....... <br /> ................................ <br /> The ngent is........................................................ S until <br /> This npplication, nithou^h signed, ahall not bc bindin uPon thc City, <br /> nccepted by lhe SuPerinty(�dent of lho�'ll��' `Department. <br /> SiGned.v/�-1�-L�:j1.....�:/F:`��.�::�:���'.'�............ApPlicnnt I <br /> �i ... ..... <br /> ......... ... . <br /> ' <br /> /ti,.Qi.......102.. BY.. .. --. .... .. � crintendent <br /> Ac�epted_. ..�........-/��. <br /> � <br />
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