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1005 RUCKER AVE 2016-01-01 MF Import
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1005 RUCKER AVE 2016-01-01 MF Import
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Last modified
3/8/2017 5:09:48 PM
Creation date
3/8/2017 5:09:37 PM
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Address Document
Street Name
RUCKER AVE
Street Number
1005
Imported From Microfiche
Yes
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,..�,. _ .. . <br /> u�. ;,. _�.��„ . i sco .;-i-v c.r. <br /> CITY OF CVERETT==Water Department <br /> Application for Water <br /> pll Llanks must 6c filled in or crnssed��ut <br /> Ererett_ ___ ______ ____'Sl..�g.___'.__191 �__-. <br /> "fU 'I'HE SUPF.HIN�PIi�UIiN'P OF 1'Nli NATBR DEPARTML'NT. <br /> ll7'Y OF 1 VF.ItETT: <br /> I h�m.hy applY f�r Ihe use�d��':fter iu nerordance x�ith the rules and tegula� <br /> ti�m;o(The lVater UtP�rUn:nt. (nr P��rposes and fixWres tilaied belou�. <br /> Duriug ihe lime Iha� anY nf tha w�itcr mains mnc bc lnken up bY renson nf <br /> nny intProw•ments:wthnrized hy the Cily��( �:�'creil,in or nf anp slrcel ��r allcy in <br /> �chich thry m��s' have becn Inid,the Ciro ���ill not be n•quired lu tumish waler durinK <br /> Ihc prngress o(auch impmvemrn[s In an) tnnsumcr �ehnsc xu�!ph' m:q' �hus Uc cut <br /> n(f, nr be liablc tor any d�magus fur i'.. failure so lo du. <br /> Applicnliun Na.'"—��''�'-/----' <br /> � -���.13-= `�— naa._._ __... <br /> iii���x . �/_�-- L — - <br /> Vo.----/q o.S_ .�-'�----- ��---..strcet <br /> ._....--- � -------- �-------"--"_----'------------ <br /> '1'hc work tn bc cxeculyd b)' -. .. <br /> _"_'_" .-"_"--"_--'_ Plumber <br /> Statr size�d tap. <br /> /� Tap lu bc inscelcd in lhc main. o <br /> �.-- � �� <br /> � , <br /> wa�cr ctnset ' <br /> .__"___-.L'ath � <br /> ___. .__ .Urinal <br /> _ ____._Plaintaucetinsidc <br /> ___._"__$If�C N'8��(R'8i�1C( <br /> .____"'Ilnse 6i6 outside <br /> __Hnc�Ui6 forbuilJinK P��rpnacs <br /> . ..Hosc biU insidc <br /> ________Bib(arstablccnutaininK �------ - �tall__ .-__. <br /> __Nmnbcr a(persons in family. <br /> '____"_Nwnber o!mnms in builAing <br /> Thepremiscsaretnbcusedasa_-_--_ - _.--__..'_-."-_-'._" .--"' <br /> Theaw'nernfthcprcmi=esis _'— � ---"--- �-� --"'---"� <br /> . .__. _._____'_. ___.___.___ <br /> TheaKent �s ___._._ -._-___.____.__ .._ _ <br /> '1'his aPPlicatian,although signed.shall nnt bc bindinF upnn [hc Ciq'. imt�ac <br /> crpleJ b��The Superintendent of ie\Yn!rv qepn���l. \�.. <br /> / 7/ - �' <br /> � "1L',"'.•. .!2%;i"�////yl1�___'__ApPlicanl <br /> S�Kned .-_ ' "f <br /> — ��// .��,/ . .. �_ _.__ _. <br /> AtcePled`_7 ---5('--...19�/ �i, " ."----S�r,�rinien:leni <br /> (/ � / <br /> � <br />
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