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3631 ROCKEFELLER AVE 2016-01-01 MF Import
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3631 ROCKEFELLER AVE 2016-01-01 MF Import
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Last modified
5/4/2017 9:02:51 PM
Creation date
2/27/2017 2:17:23 PM
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Address Document
Street Name
ROCKEFELLER AVE
Street Number
3631
Imported From Microfiche
Yes
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w c.r:-�,,. �,scei-i�i�ar. - � <br />C,ITV OF EVERETT==Water Department <br />Application for 1� ter <br />All blanl:s must hc ed in or crosscd m <br />- 30- »� <br />r����u._.__ ' - - '� <br />'fll 'PHH SUPIiRIN7'�YUG�'I' OF Tllli NATh:R DBPAR'1 \t1iN'1', <br />ll'fl' UF GVI?RET"C: <br />1 hrreby :�Pply �� i the nse n( water in aceordance with the n�lrs and rrFula- <br />ii��:i. o('fhc \V:ncr U�Pai.nv.nt. iur Purpnscs :md tinures �tated bclmv. <br />Uurin�; the time �hat any ui the water main; may br taken up �y reasnn o( <br />81l\' i111p1��VC��II`�lti :IUthnt'i1.Ctl t)f tllP �.it�' ��( 11Yl'�Plt. ill (�r nf :IIIC StfcCl OC 811cy ill <br />�ehich they m�q' 6ave been laid. thc City ���ill nut be mquimJ W f�i���i�h �caler durinl; <br />ihe Vrn�;ress u( vuch improvemcnts tn any eonsumer �ehn_e �uPpk m:n� thus 6c cut <br />��It, ur bc li.�blc for an5'�tama.�rs for ts (nilivc ��� In du. <br />y(-, �% � L� <br />r\pplirntian N�d / ___ � __._'_ . .. . .. . . <br />` __ / <br />131uck _-__' �v'-_--"d _Add <br />a36 �S / -_----i/�r—�---- .--..strcei <br />��,.-- — — <br />— _ — _ _— - -----. <br />-- ----- --- ----------- ----- <br />'fhe ��'��rL to be esccutrd bg _.____'-- ----� -------- Plum6cr <br />Slale 5i2i�.�d tap. <br />� <br />_ �__ Pap tn be inserted in the main. al /� U U <br />F{� <br />. . � _ �_ .O'nier doscl ��— <br />."_""_6alh ,l��l,i`� �t^i <br />.• � ! <br />_.__'__. .Urinal /' .. ` .', _...'' <br />�, i: • <br />__Plain taucet insidc j . • . <br />( � F,'„ <br />. _'_"Sidc�calk�rashcr f �/��.'', .S'i <br />�� �' ���i1C;1E <br />'_._Has-cbibuutsiJc �� Sn' �/ r!L� <br />_ __.__Iluscbiblorbuildin4Pmpnses `�``'` •� ` � �`\-i rv!. <br />.___..__.lioscbibinsidc ` ` ��.� <br />' `.�'.°t�.� <br />___Aibfnrstabkcnntainin�._'---�--sta ' �i � <br />.__�_� NumL•��r of persuns in family �rti• <br />_ __ ��'Numbcr a( rooms in building <br />l�hepremiscsaictnbcuseJasn_.___.-___.._'__-.......'_.___._ .- --.... <br />"I'hcuwneruithepremisesis___'_'_ .-.._. ______.__._._-._.. <br />'Chc•a�cntis ""___ "_"_"___."'.__'___""""___"' <br />'I hi. npplication, al[hauRh signrd, shall not bc hinding cp,in thc City. unlil ao <br />.�epted 6p'1'he Superiweodenl n( the Nnt� Oep/:��ruuc�t. <br />` /�,�. �f'/jJ �-'�iG(��f� �ApPlicant� <br />SiKned !�1�/LP:.N/ <br />� <br />. i. �% _/� _' <br />�Acr:'pICJ. _ /1/ ""._ ' -�J�_ I � ' Ir � _ ,...�.�...i <br />l_ <br />� i i <br />� . (� . <br />n > >-'. � <br />
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