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1622 MCDOUGALL AVE 2016-01-01 MF Import
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1622 MCDOUGALL AVE 2016-01-01 MF Import
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Last modified
4/13/2017 3:53:32 PM
Creation date
2/26/2017 3:35:03 PM
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Address Document
Street Name
MCDOUGALL AVE
Street Number
1622
Imported From Microfiche
Yes
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�. �'ul �: ' r<' %/T <br />W. D. Fnnn � ISCO d-I-I ] C. P. <br />CITY OF EVERETT==Water Department <br />Applic�tion for `Water <br />:\II blanks must be fllled in or crossed out <br />li��erell. ___ '_'_-_-__. j/�. _.1919_._ <br />TO TI{g SUPERINI'FNUIiti'I' OP THB WATER UEPAR7'�iFNT, <br />CI"Il' OF G`/F.RETT: <br />I herenp apply (ur the use o( �calrr in :�Ccordanee �vith the ru:eti and r�gul:i� <br />�inns of "Phe \Vater DepartnrvnL (ur purposes and fix[m�es staled bebw. <br />Uurin� U�.e time Ihat anc o( the �eater mc�ins m:ir be IaAen np 6y .rasun o( <br />anc imprnvemen� s audiorizcd hp thc Ci[y uf Everrlt. in or nf any sirert ur :Jlcy in <br />which they nup' :�ave been laid. the City will not bc required tn (urnish waler during <br />IPe prn�;ress of s�eh irnprnve�nent+ tn anp consumer �chose suDPh� may thu� be cut <br />nF�. nr bc IiaFlc for any dam:��;cs (or iL (:�ilure so to dn. <br />Applic.itiunb Nn.."_/_� z�_""'_' <br />I31ucA _. J 3rs ._I.ut__� z. �.2'_�..AJd.. r�• � <br />_ _ _ _ _' <br />v�,.... _ L b � .2 .�?r4s..�o-�� s�«��� <br />_ _ - -- -- �/� -- - - - -- -- <br />'I'he n�urA �o bc esecWed by. __'.W P�-V—P''L _'____'_ Pluntber <br />Statc vizc u[ tap. <br />��1/_._ _. fap tn bc ins�•rted iu Ihe main. � <br />O� / <br />.-_�_____.R'aiercluvet �-" <br />. _�_____8ath I 1� <br />-_. ___ -Urinnl <br />. .. _..- Pl:�in (aucet inside <br />. _ .__Sidrx�alkwasher <br />. ..._.-_Husc bib uclside <br />-_' _ . _ . Hosr bib (ur building pur�mvc� � <br />. ____...Hosc bib iasid� . <br />..___'_'_l3ibtorwi6leconlaininti._ _____.._. <br />_ _. _ . _ _ . _.I`umber nf persuns iu (amil�. <br />. . �'__'Number uf ruumy in 6uilding <br />�� <br />�' <br />'1'he premises mc n� bc usrd as a _.. . . _ _.. _. _ _ _. _ _ <br />_.._ .___..__'_ ____.. <br />�I'heo�cnerut�hepremisrsis ___._.__.__ . <br />. .._. .__'__"__._'__"""'_' <br />Thr aKent is.. -- _ -' . - - <br />. _.__-___._. .__..__.________.._-___'-_ <br />7'his applirat�nn. allhou{�li signed, shall not bc bindin� upun thc CitY. until a[� <br />cepteJ bq The SuperiNendent uf t/he� 1V: /rJ�Djepartine� . <br />/�/ �`/ <br />SiNncd _�..(L..`!'___ . Q�✓t�_.___Ap�. �cant <br />'__ <br />Accrpted. r— . �____ _.14}�'j Ry1� , <br />- ...____ .._____.. <br />��� `7 7 'Ii s�i.•e,,i.;..t�••. � <br />
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