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1009 RUCKER AVE 2016-01-01 MF Import
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1009 RUCKER AVE 2016-01-01 MF Import
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Last modified
3/8/2017 5:10:56 PM
Creation date
3/8/2017 5:10:50 PM
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Address Document
Street Name
RUCKER AVE
Street Number
1009
Imported From Microfiche
Yes
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/ <br /> 4_^.'p s_ R'_�.. :/ <br /> , 'N <br /> N'. 0 Fon�,. ���o �.�-��_.�. artment <br /> ' CITY OF EVERETT==�'ater Dep <br /> �—— <br /> ' for Water <br /> Application <br /> All blanks must be�r aosced oul <br /> - 51 � ,9��- - <br /> r,•���«. - ---- -- - - - - -- - - <br /> TO 'I'HESUPI=RINTFNDRN'� l'I"I'Y03:`G`'1`ERET'7',;kAx7'MiiN7', <br /> 1 herehy aPPb'for �he use nf����ter in accord::��ce���ith lhe rules�nd reg��l�' <br /> for t rP�"�s and Gxdac�slaled brluw.n re�s�n of <br /> iiunc nf'rhe Nater Dep:+rtm�ant. P' <br /> .�rclt.ir.or of am� strcrl ��r alicy in <br /> DurinK lhe time ihat anY��f the��'�ter mains�nay br ta en u <br /> nm'imProvements auU�orixed b)' the City u[E•• <br /> �he Pn'�;rrss��(a��eh impmvements 1"'°>' consumer w�hn�e suPPl>' m�Y ihus be cut <br /> which theY ����)'have been laid.the City will nnt bc req��ired t�i lumish water dwmF <br /> ,if(.or be lio�le f�r anY�����'�K°.v- for its(ailure so tn do. <br /> 0 3_2- - <br /> pppliCntinnNo...7_-.' Z . . ' _.- <br /> .I.n�__"" ' '__Adt __"_ <br /> _"' <br /> — // '_/...._ _ <br /> Rluck --�-/•`J_.-' ' � � JJ �� <br /> O � 9 _/�?�-`i`�.�__ _.._._.'..Strcet <br /> . "___"'__" <br /> Nu. .-'�_'_'_ -_'__ <br /> - ------------------- <br /> --- <br /> -----� . .. .- _ Ylmn6cr <br /> �-'---- . _ .. <br /> __'.. ._.... <br /> _"_' __ <br /> _ <br /> _ <br /> '�' •Phe aurk lo be executed be.-—�- <br /> Slatc sizc��f��P• <br /> � TaP t^��inseded in thc main. � o i <br /> ��_ _ � , <br /> '_ ._'_"Nater dosel / . <br /> _ . <br /> Iiath <br /> Urinal <br /> � _Ylain fautet insidc � `��'�. <br /> . _"' Sidc x�alk�rashcr <br /> � ���____I1use�ib����lsidc , <br /> t . <br /> _.__"__-.Hosebib(orbuihiinKl���r{""cs .. <br /> . ___"___11o�e bib iusidc �tall...- ""— � <br /> ___'_"_.iti6 for stablc cnntaining.-_-._. <br /> _ <br /> _..._.Nwnbcr nf persuns in famil>• <br /> _._'._Nwnbcr n(rooms in bwldmi: __... <br /> ___. ___.__. <br /> __' '_" <br /> The Premiscs are in 6r n=ed ns a_--.- '_"'__. __'_' <br /> ."__'__ _. _ <br /> _____'_-__._'_" <br /> Thc nwncr u(Ihc prc��i>rs is ---" _'_. <br /> '1'hcatientis .___.._... .-'-..�.---.�_ '_. _� _�."'�'. . , untilar <br /> dthough siKned,shall nal bc binding up��� lhc City <br /> This api>lica�iun,: � <br /> cepteJ bS The Superin�i•���ient��(i�c 11'nte�)�P��f�l,y"y __n�l licent ,. <br /> /�<>�r� , <br /> ;��,.,�--�- <br /> --- <br /> � -- —_s���;G���e�r.� <br /> , _ �qt/ '-_,�/ : <br /> A::cn��r,'.�1 :��= % <br /> �_ i <br /> [ <br />
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