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4412 S 4TH AVE 2016-01-01 MF Import
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4412 S 4TH AVE 2016-01-01 MF Import
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Last modified
5/11/2017 11:10:20 AM
Creation date
3/8/2017 1:38:46 AM
Metadata
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Template:
Address Document
Street Name
S 4TH AVE
Street Number
4412
Imported From Microfiche
Yes
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I'�imlZymlo\'^+v^��. _ _. _ _ _..,�...,. . . __ ..__ _. _ __ ... .' . _ -__. T___. � . <br />�' � �./=�Yf:b /'i �. y _ � 3 � � <br />r � ..^�t��tk'��,'�. S �, ,.. G.�T� '�-o -2 3� <br />�� t� "�-� W. D. tOlm � I500 0-1-17 C..'. -_ . <br />'' � C1'I'Y �F EVERETT�=Water Department <br />Application.for Water <br />•� AII blanks must be fiG ' or crouc�t <br />� Everett,_ � %� ._ <br />� - - ------ ------ ----------��-- <br />TO THE SUPERINTENUGNT OF THE ��' ER DEPARTAfENT, <br />CITY OF E'lERETT: <br />� 1 herehy apply (nr the use of water in nccordance with [he rules and requh� <br />� tiuns o( The Walcr Utp�rtmen[, for pnryoscs an 1 fixtures stated below. <br />IDuring the time ihat any of thc water mains may be taken up by rcason of <br />am� �mpmveinents authorized Ly the City o( Everelt, in or o( any strcet or ailey in <br />u�Gith thry may have bcen laid, the City will nnt be required to lurnish watcr during <br />the progress o( such imprnvements to any consumer whnse supply may thus be cu[ <br />i n((, or be IiaLle for any dartt,iges (ur ils failure so to da �� <br />� G . <br />APPlicatinn No."" ' d � �1 <br />' "'__"_ <br />. Illock ___""__'_' ..___ 1dd '_'_"'__. <br />'/ L�-"' _. -"--""--. <br />No._ <br />.'T�/� .• � � ` "----"- <br />..___ . ____'___.._.._'."'_"""'_""""""""""""'-' <br />"fhe wark m i>c executed 6v_,_.__ _____ L� ______ p�umber <br />' _'_ '._"..'_______'_ <br />S� �s/iz�y u( (ap. � <br />_=J__.Tap to be inserted in the main. � / y �� <br />------�..\Vatcr cinset <br />U ` <br />-'--'�'_.Bath <br />--`.--i}rinai�-- <br />-_____.L_Plain faumt insidc <br />_— _--===Side walk-washer <br />---_-�..Hose 6ib outside <br />-_---.-=11osc bi6 for buildinR purpases <br />�--"""_Hose bib inside � <br />___—_ .__ . <br />_"'...__Bib forsta6le containing________ <br />-- _Nmn6er o( pi�nns in family <br />_' �' <br />� . <br />t, <br />'_slall_.'_""'_ � <br />-------.-_Numb ,r o( ronms in buiiding <br />1'he premises arc [o bc used asG i� /N✓_ � � <br />, "' _' '. "'_'__' <br />' '""c-' <br />The owner o( the premises is __:�_..__. ' <br />"' ._�._'_'_"_'_"""'_"' <br />""__" <br />...;:"� , "he aHent is . "" ---' <br />.._'. "___' <br />�... �.' 1C' ' " " " ' _""' ."'""�""_""""'_"""' <br />'_:�.' �� �s application, although signed�, shall not bc hinding upon Ihe Ciry, until ao- <br />'d bv The Superintend t f thc Water � epartm <br />Qrr? , Signed • <br />. . _" '__"_"___ ! .._A plicant <br />. ..'.� " ' . _ _ _ _.� i <br />� f�\ccepted-_'_""""'_""_19l By-_�. . ,. % <br />� � �/v/ -�aem " <br />' v <br />
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