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2602 VIRGINIA AVE 2018-01-02 MF Import
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2602 VIRGINIA AVE 2018-01-02 MF Import
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Last modified
5/16/2022 3:38:48 PM
Creation date
3/8/2017 12:41:46 PM
Metadata
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Template:
Address Document
Street Name
VIRGINIA AVE
Street Number
2602
Imported From Microfiche
Yes
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I=n- -7J _@-_ i.� . �, -� 5'7-Y�T-'1' 1 <br />w�. c,. i u�„ . isco a-��-n c. N. <br />C1TY OF EYERETT==Water Departntent <br />Application for Water <br />AII Llanks must bc fillcd in nr cro� ed uul <br />a <br />— -- i <br />lireretL . . �-�`_ ..'_.-_-.19 _ --. <br />'PO 'I'illi SIIPIiI:I\lli\UF:N"1' OF "PHH WA1'GR UIiPARTnfE\"1', <br />CI7'1' UF' E`iliRE7'T: <br />I herebp �pply for the use of wa�er in ;ic���rd::nce a�itli Ihe rules and regula� <br />il.sis of l'he 1Vator Uzpnrtm= n[, lor purpnscv and tu;ures slated helnw'. <br />Dnrinq tlic time :hit :mc oi the iraler mdins mar bc taken up by reason of <br />:mr impro��ements au[horized Le �he Cin� nf licerru. in or u( anY strcet or alle)' in <br />rr!�id� ihrV mn)' have Lecn I��id. thc Citv will nu� be reqmrcd lo lurnish x�n�er dm�in� <br />�he prngre=_s of sueh improvements In ane eunsumrr �chn=r o-upply m:�y thu.� be cui <br />��i(. ur Lc liahlc !nr nnq dama�;es (ur ils f:�ilurr .o lo dn. <br />�J r <br />Applirnlinn Nn.""r.��..(. `.5' `�'_...p. <br />Bluck � �-`r . Lx[.' � d. "- _ � 1dJ . . <br />_/ J/ _. _ - ` <br />\o._.�_�?� -�/. v ... �«'�'� . .Sircet <br />_. .. .. ._.___... . .._...� _..�. _..____'_.______________"___._. <br />'fhe�rad:�obcexea�tedb>'________________ _______"__'."'_-.__Plumber <br />5t:u/cy,�z • �d tap. <br />�/ '. c�/� _�'Pap t�� bc inscrted in thc main. , . . <br />. _ . _ . {� \Y:tlrr clncrt <br />__.__. /_.Rath <br />_. .�_.,_ /.Urinal <br />. _ _-.v �1'lain Gmcci in�idr <br />.. '__.Sidc �ralk n'ashcr <br />. . . - ��. _ Husc 6ib oulside .. <br />.... _ Hosc bib inr buiiJing pwpuzcs � . <br />_ Ilasc bib insidc <br />.__'___-Itibfnrsta6lecnnL�inin{; '________slall.... ..._ <br />. . Q...Kumbern( Persons in tamily , , <br />.. ..!1 Number nf i��nms m bmldin�, .�7 <br />I'hr lremisrr ate t�� bc uscd as a ��// ,// �_ <br />��v �W`�� .- _. "' <br />I'hr o�cncr uf lhc prrmnra is . � .Cf��� <br />_____ __"____' <br />'ll�c a�;enl is "" _. _... ""_' _"""" ' ' <br />'Phis applicaiion. alihnugh signcd. shail nnt bc I�indinti upun lhe i�}', unlil ae. <br />� �uPer �Irnd nt of �<-�Pn � 1e{ utuy •nl. /� <br />///� // �" <br />JKne _ - C-��-C���fJf� ._ icant <br />_ _ .'"/_ . � / ` <br />, ..,u __�— - ..11' Rr � _ . /� <br />LS �� ��-, ".� [�`�-���Zh^:i.•,�..��..� _. <br />` � 4 i . <br />
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