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7627 SKIPLEY RD LINE 5 2016-01-01 MF Import
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SKIPLEY RD
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7627
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LINE 5
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7627 SKIPLEY RD LINE 5 2016-01-01 MF Import
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Last modified
5/4/2017 10:34:35 AM
Creation date
3/9/2017 9:01:07 PM
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Address Document
Street Name
SKIPLEY RD
Street Number
7627
Tenant Name
LINE 5
Imported From Microfiche
Yes
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� . . <br /> • W. D.Morm a I500 d-i-17 C.P. �� <br /> CITY OF EVERETT-=Water Department <br /> � <br /> Application for Water <br /> All blanks must be filled in or crossed nut <br /> Everelt..____'__"_____'__'.�� .l.r_'___'1915"�. � , <br /> TO THE SUPF.RINI'ENDIiNT OF THE NATER DEPAR'I'MENT, <br /> CI'Cl'OF FYERETT: <br /> 1 herebY�PPh�tor the usc of wnler in acmrdance w•ith Ihe rules and segula� <br /> tinns of The Warer Deparunent, for puq�oses and fixWres statcA bclow�. <br /> During the time Ihat any�>�the wa[er mains map be takcn up by reawn of <br /> :my improvement,authorized by the Cirv��(Everett.in or of any strcet or alleY in <br /> which they m�y have bcen laid,the City Hill not be rrquired tu furnish water during <br /> nH,or be liablc fur any dama�Res fur�ls tailure s1n tu�Whose supply may thus be cul <br /> ppplicatinn No."'-7'Z'�-1---'- ����r <br /> 131ock ._-___"_' <br /> _.__.i.ot____'_..'__.'_.____Add..____..__._____ _. <br /> Na._ -'---1'O.!l-9'--3-o..Strect t <br /> '. "_... _. _ � —�g� � � <br /> 3-.4r„-„"-'-i�---•- ""_"_" . <br /> _'_"' ____""_' <br /> "'_' <br /> "'__._'_"'__." " _ . <br /> ___ Plumber <br /> 'fhe work to be ex utcJ b)'._.._----'--"- -------'--'---.- . <br /> Stntc size of lap. <br /> 3,a(_�_Tap to bc incirtcd in tl�c main. , -, --' . <br /> _""_'_Natcr dnw•t <br /> _. .__-_-Bath <br /> __. ._.. -Urinal <br /> . <br /> ._____.Plain faucct insidc <br /> .__._.___-Sidc walk w.sher <br /> '_"'_""Hosc bib oulsidc <br /> .________.Hose Uib for buildinp pui'�����-� <br /> ____._..li�sc bib insidc <br /> '_l3ibforstablcrnntainin�;_. -----st�ll-._- '-" <br /> ___"� _.Numbrro(persunsinL•�mily. <br /> ____'_____Numbcr uf rmims in building <br /> The Premises arc tt�be u�� �+�...-� --- --'--.._. <br /> .___'_.___.__" ___"' <br /> The uwner of the Vrcmises is -_-"-'----_-"'."-"-_ <br /> ._'.............___� <br /> 'Phc aFent is '__'_____..._. ___.'.'__'_.___ .___..'________"_.___.___-____ <br /> This applicnlion.althougli siKned.shall not be 6inding upou the l'itY� ��ntil ac� <br /> cen�ed by The Superinicndent uf the\ViAer Ucpartmenl. <br /> � � � „'_____'Applicant <br /> Signed ___ ,' __'_'___ <br /> AcecPtrd-. __ ... ...-_-_-]91 Ily__-_""-_""_'_sm�.r�m�ncem _. <br /> L� <br />
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