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2623 VIRGINIA AVE 2016-01-01 MF Import
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2623 VIRGINIA AVE 2016-01-01 MF Import
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Last modified
4/28/2017 4:56:36 PM
Creation date
3/8/2017 12:44:30 PM
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Address Document
Street Name
VIRGINIA AVE
Street Number
2623
Imported From Microfiche
Yes
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'N. 1'. Fonp 1 ISCO :-61] C. P. '� • <br />CITY OF EVERCTi==Water Department�`'�� ' <br />A�pplication for Wa./ter <br />All Llanks nmst �� flled in or rrasscd nui� <br />lvcrrit. . _ _.. ��/ �� � <br />_._____ _`_"._._.— ___._._.191 �__ <br />TO '1'Hli SUP4:RINTENbIiy'I' O� {E NATGR DHPART\IGNT, <br />' OF' G7GItIiI'T: <br />I hcreLr applp for th •��se of waler in :iccnrdance w�ith Ihe rules and regula� <br />iinn. o( Thc AVntcr Uepartm-m (ur purposes and fixtures sl;ucd bclav. <br />During Ihc tintc Iha[ any n( Ihc watcr mains mnr be taken up 6y reason ot <br />;my impro��emcnts autLorized by thc Ci�v of Lvcrell, in or nf any strcet or aL�y in <br />ivhich they in�Y' haec becn I;�id. Ihe Cih� �vill nal bc reqcired to lurnish �vater during <br />Ihe progress o( such improv�:mentc to nnp consumrr e'hu�e supply may ihus Ue cut <br />���f. nr Le liablc !or :my Jam��qc; for it+ failure so to du. <br />C / � <br />Appliaitiriit No..6 �c�!V <br />"___ <br />f3lack _._� O L.% Lo�___ _"" �j� . . <br />'_''' '_�'J �� '�'�"_'.Add_ _ - _ <br />_ . W.lA.J1.4.�4Y�-�._ C_ . <br />Nn.�_G-Z� (�.C�_'/_�/ .o-LLr__e�,....__'..Strect <br />.._'___" ._"_ V_._... <br />'__ <br />_"'�'__'__'_'__"' <br />'fhc wnrk ta bc exceul��d by_"_ "__' "' 'f-7/7^i """'- <br />""' <br />-_ lumber <br />Statc size ur taU. ,��� V�� . <br />.�/Y_'Pap to be inscr�ed in the main. j '� `�1 •, ]�� 'J <br />��9�. i <br />i� i� P c' •� �; <br />- -- -----lvntcrdoset �' e� o, � <br />� � .� 1I �, <br />� �— — ii,�n ,�' ���_; - <br />-. __ .Urin:�i ' }� <br />� 1� <br />- .--_Plain tnncct:nsidc ,�Un� ) � <br />. -- -__Side�ralkwasher t�. PE�_—�--- <br />. _.._.._HusebiM1ou�side 'i� �e'j <br />.-"Ilnsc bib fnr buildinA pw-puses �t r <br />_-.' _ ___Hose bih irvidc <br />___"""Bibfafslablecnnlaining_"_'__ .Ldl.' <br />..-v'-. Nuntbcr of penuns in f:unily <br />i <br />--________numbcru(roamsin Luilding <br />"1'he prcmises are tu be used as a_. <br />� .._"_'___" <br />' ._' _._...__'_ '__'_ <br />'Phrn�enern(thepr,niisesis __ .:}.;}:aq_�_. f�J p/' �::�.�__ <br />_-I._� {'. _ _"__'_'__"' <br />The a�;cnt is..'_"_" / <br />'Phis applir.�tinn.:Jilmu.qh signrd, shall nnt be bindin�; upon Ihc Cily, until :�c- <br />'1`1�b cepl��d by 1'he Superimendcnt u( �he 11'ater Ueparin/Lycyt. <br />1� � Signed. ___/�'�-w^—'-�i / l 9��' G, <br />___ <br />------ - �pplicnnt - <br />Acmpted __1'31 � 13� '� ' " ' <br />_ _ —��'_ � >-- _ _ _ <br />• _,..•nneo:� . <br />
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