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3701 ROCKEFELLER AVE 2018-01-02 MF Import
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3701 ROCKEFELLER AVE 2018-01-02 MF Import
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Last modified
5/12/2022 8:12:51 AM
Creation date
2/27/2017 2:17:52 PM
Metadata
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Address Document
Street Name
ROCKEFELLER AVE
Street Number
3701
Imported From Microfiche
Yes
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.. .�� x��-z.� ir.�. _ . , , ,. .-, ., . <br />\•i il. Purm d ISrO—F..1`.Co.-6:fi-21 � -, " <br />City of Everett��Uater Depnl'tment <br />APPLICATION FOR �1ATER <br />Nl Ulan]ts must bc filled_ in or cruss � out <br />� �� � .....192.Y: <br />IZvcrett� .................... . .. _....._..._...._............._.. <br />TO 1'iIP•. SUPliRINTIiNDPNC�TY' OC I.VI?RliTT;ntiPA1:TilU�:I�'P: <br />T hereby nPPly fur the use of �anter in nccordanee �cith the rules nnd icgu- <br />Intions o[ tl�c tlrettima llinttnn� o[ilhc u�ltcr m:�in's mny�Uc taken� up,b}' renson <br />During <br />ulleY'1in���i i h t�hcytmal'th�nve Ueen51nu1, ho C ty wll�no't�be� �vlUired�lo furni h <br />�eatcr durin6 Lhe p�•agress of sudi imp�'���'�mrnte to nny cmisumer �vhose suPP�Y <br />msy tlms Uc cut oft, °Fb0 � li}S fm' anY dmnnges for its Fnilure so .o do. <br />(j <br />Applicnlion Au a. ... . . ..... <br />Add... ._ _. . . . _. <br />u,,,�k .. yZ 3 -� � /G�'u,cc�.� <br />�JU � 1,_ . ..... treet <br />�.o.. �3.� _ __ <br />_. <br />__._ . .... _ <br />_.... .. <br />.. <br />- . _.._....Plum cr <br />T6e work to be esecuted 5�-- � -� � - - -� � - <br />_ _ <br />gtntq size of tnP. // <br />/ /��' O u <br />..,��,�.�.,....Tnp to be inscrtel in the mnin. — <br />,�_.. Nutcr cla�et <br />..._....�.....Bnch <br />.... _......... Urin nl <br />.......,�...Plnin f�ucet ineide <br />................8 �de- �t-'lk-wa.hcr <br />..,,.�...Nose bib ovtsidc <br />................Hose UiU for building P�trpo5es .� <br />._......._ � <br />.. ...Iic�e Lib insidc <br />. .....stnll............ _.. _ (� <br />................Bib for stnblc conlnining.............. <br />_ // NumUcr u[ Persons in fnmily <br />._...5�_...NmnUcr o[ rooms in building <br />The P�'emicec nre to Ue used ns n...... _. <br />._.__.. .. _ __ ._ __........_........._ .............. <br />TF:e owner ot thc prer.�ises is........_....._........._.. <br />._ .........._ .................................. <br />.. _..._ ......_..... <br />. _........... _ ........................ <br />The nHent is ..........................._....................__. until <br />'fhis aPplicalion, nithouRh signed, shnll not Ue binding upon thc CitY. <br />ncceP�ed by the Su�crintende9� ot the �4aj�j-�r Depnrtment. f <br />//L �.1�.....�-�i���l.�fti-: ... .....APPlicunt <br />SiFned.... •.... .............. .... f � I� <br />.: Cl:� ............_.........../ <br />� ° '"��."c.�.{.�....._]99._... BY�>.� .r-.t .c CZ,.. .. _S perintendent <br />--J _r--= - � <br />
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