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3614 ROCKEFELLER AVE 2016-01-01 MF Import
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3614 ROCKEFELLER AVE 2016-01-01 MF Import
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Last modified
5/4/2017 8:08:09 PM
Creation date
2/27/2017 2:14:10 PM
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Address Document
Street Name
ROCKEFELLER AVE
Street Number
3614
Imported From Microfiche
Yes
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'(...._:�', . ... - ��"1.�� (�� . Vri-C.14t�..� i • . � . . <br />R'. D. Pnrm:— IS��o—F..CCo.-6-20.21 <br />City of Evei�ett���Jater Department <br />., - <br />�PPLICATION FOR WAT'ER <br />All bla»'.:s mnst be fiiled in or crossed out <br />� <br />l v e r c t t . ............. �...lf...�...c?:.. .... _7it� .... . . ... ........ ] ( )'? �%. <br />TO TI?P SUI'CRINTE\DENT Or t'ATGR DGPAItTIIliN'f: <br />CITl OF LVEI:I'sTT: <br />1 herebp ntiplp tor the u:;e oC �eat!,r in aecm•d:mce n�iUi tha rtiles nncl 1•egu- <br />IaLinns of LLe Water Department, for pmposcy :md fix;m�es stulcu bclo�r. <br />During thc timc thnt uny of lhc �c�tcr mnins mny be taken up Ly renson <br />of nnp impruvements unthnriteJ by the Cih• of I?ccrctt, in ar of imy strect ar <br />ullep in �chich thcy itt�g hncc Uc�n I:id, thc City o•ill nut bc imquircd to furnisli <br />�vntcr dm�ing the progress of sucl� imyrovenu�r.ls to auy cunsumer whose suppl)• <br />m::y thus bc cut off, (y/rpc I� Ic Lor au}• d:una�G/c�Cr� its failure so to do. <br />Application �'n 0 �O� _ . . i -' 1 / � <br />� . .� <br />L'lock ..._�J� ` 3... .. Lot .. . ! � ..._.__. Add ........ . ......._.�._�.... <br />/ i %� <br />K o... .� U' �.y. . (. .°�_ U. C, �� �j.�. !. ....... ... Sircet <br />._.. __. ._.. _ ........__... .. __ ....�.... /.....__...�._._ _............. ..•. . ..................... <br />Tne �vork to be esecuted by,..Gv..<q�G6�i--d/--�-:�e.-�..._._._...._....Plumber <br />Slats eizc of tnp. /�� <br />�/�...Tiip lo be inser.ed in lhe ronin. <br />...../.........Wnter closet <br />....�.........Batl� <br />_...�.........Urinul � ' <br />.._z.:.......Plnin f�mreL in.idc �. <br />__.... .....5idc n�alk �cn.6cr <br />.....f.......liosc hib oulsidc <br />.__.:........17cse bib tor building purpuscs <br />.._..._......?Iose bib ineidc <br />. ....__.....Bib fcr stnblc contair.ing ................._:;tnll............._..... <br />. ..._.�:...\wnb^r of persons in tn:i�ily <br />._..�c'.....rmnUcr nt ruums in building �7' /� <br />7'h^ �iremises nrc to be us�d ns n.. . . rW�' • . .. . . .. . . .... <br />The u«mcr of the prenuses �s. —�...�� �%1. �r���G/ <br />Tlic�gc�it is.........._ ..... ......... _.. ... . _ ...... ........ .... . ... a �....... � ..... <br />This npplicalion, nithough signrd, c•hall not be binding epnn lhc Ciry, until <br />nccepted Ly� tl�c Superintendcnt of lhc Nntcr D tment. <br />� <br />/ • / � <br />Signed ...............�:.:.'../..Z�l.L:,J��...�!_..........J.f:=� _ . ApPlicnnt <br />Acceptcd....�.'—�` � __102 7 Bv.. '/{ �.�1i:'. <br />,�y� . <br />_.- _..��-/— _........... / <br />� t_� �� Suncrintendc�t <br />
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