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1129 MAPLE ST 2018-01-02 MF Import
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1129 MAPLE ST 2018-01-02 MF Import
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Last modified
5/2/2022 1:13:59 PM
Creation date
2/26/2017 11:38:52 AM
Metadata
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Template:
Address Document
Street Name
MAPLE ST
Street Number
1129
Imported From Microfiche
Yes
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� <br />� <br />� <br /> ��.�.q z• , o--��-& ;.• . . .�--�-�ck� ;- 0.1 - � '� ''��-' �; . <br /> lV.D.pnrm j-1G00—E.P.Co.-G-2f-21 � � ` <br /> �'�tv of Everett^-`3Jater Depai�tment <br /> _CATION FOR 3�ATER <br /> All 6lnnks must bc filled in or crossed out <br /> Pecrett�.......�.....`......... .._u..:..1-........�...�...............192..�. <br /> �� TO TII� SUYERLNTEND73NT OF THP:��V:1TGR DEPARTniENT: <br /> CITY OF �V�1.ETT: <br /> I hereby npP�l' for the use uf t��nter in nccordmice with the rnles nnd mgu- <br /> lutions of the \5'ater Department, for pm�puses :md fixtures stnted brlow. <br /> During the lime lhnt nny of thc �vstcr mnins mny bc tnL•en up Uy reason <br /> of nny improvmnents authorized by tLc City ot Ercrett, in nr of nny s6rect or <br /> nlley in n�hich Ihey mny hnee been Inid, thc City �vilt not bc required to furnish . <br /> �eater during tlie Progress of such imiirovements to nny consumer whose supply <br /> may Ihus be cut otf, or be linble for nny damnges for its fnilure su to do. <br /> Applicntion r�o..........Y.s.�'..'i — =r� �z- �9 <br /> ................ <br /> Block............'7..^7.. ......._ Lot.�ra_-.�.. . . Add..._..........__............_...._.... <br /> ?..... �................ <br /> ATo.........����....�q.........lflJ.Z��.................Street <br /> ..... ........................................................................................................................................... <br /> 17m work to be esecuted by./.,.,...,�....:�.�..�.n '�i �� ...._...Plumber . <br /> Stnte sizc of tap. ( ✓'� �n, f1 ' <br /> / / 1 . ��,�� �y ���� <br /> ..1,l.y.....Tn Lo be inserted in the main. . � • <br /> • n ��� ,I.�:�J ", 1 �� �., <br /> ......_«'ntcr closet -, � �� " - " <br /> . C,i7 �� �� YTy ..,�u ,; I c; 7 <br /> �-�. <br /> .....�........Bnch : <br /> .�[........_..........,.....��... <br /> _ , ... .............. � <br /> ................U r m n I <br /> ._�.......Plnin fnucet inside � � � <br /> .....-.......Sidc tenik a�nshcr <br /> ..._-......_Hosc bib outside <br /> ................Haso bib for building P��rposes <br /> ...............IIose bib inside <br /> ........ ......Bib for stublc .unlaining...................stnll.................... <br /> —�- Nmubcr u[ persons in family <br /> ................ ) ,,f.._�.... <br /> .....�.....Number ot rooms in building Y' <br /> The Pr•emises are to be used as n/..../...._......�..�ct�v:....F. ...,.,.. ,. <br /> The o�r•ner of the prer.»ses is.�....l.r..,��.........:1.,._,...!�;�.C�(r...:.. '�I <br /> Tiicngent is...................................................................................................................... , <br /> This ¢pplication, nithovgh signed, ,hnli not �� Uinding upon thc City, until <br /> nceepted by ihe Superintendent of �e �Vntpr Dej�.nrtment. <br /> Signed.��.�.. .........tiv...' .�............... .... .. Applicant <br /> � ` �f.......�. / <br /> Acecpted._......_�-..�.�..::,....1;12.`�..�. BS.................._ !ly'/ �.��� .. ......... / <br /> gupeimtendent � <br /> � <br /> � <br />
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