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2022 STATE ST 2016-01-01 MF Import
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2022
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2022 STATE ST 2016-01-01 MF Import
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Last modified
4/26/2017 8:05:08 AM
Creation date
3/10/2017 12:18:38 AM
Metadata
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Template:
Address Document
Street Name
STATE ST
Street Number
2022
Imported From Microfiche
Yes
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t<_��-0 v-�a-27-1(' r- <br />��.,.,�, 6_�_�l_ �'J l,—. „ . <br />t1'.U.I'arml- Ifnq—F..P.Co.—n.2C.2G <br />City of Everett--�Wate�• Department <br />APPLiCATION FOR WATER. <br />All binnks must be filled in or crosse at <br />-- � / <br />13ecrett................_.............._�._�.....__..._............19^.. �.� <br />TO 7'IIE SUPGRINTliNDF.N'P 0� THM: lY:1TP:R DGPART,IfE\7': <br />CIT] OP }:VGIiETT: <br />1 Imre6S' nPP!y for the use u[ �cabrc in nccnrdvnce �:•ith the ruirs ::nJ rei�:u- <br />lations oC tho Nnter Departmmrt, for purpo::c; nnd Cistur�s ;tated bclen•, <br />During the timc thnt any ot thc �vater mnin:: map bu taL'en up by ren: on <br />of an1' ��nP�'o�'�������ts RIl1ItOCIZf1I I)y LI1C City oC b:cerett, in or nf miy s4rceL ur <br />alley in ���hich ihec m:q� hace been Inid, thu City �t•ill nnl be required lo fm�nish <br />a•ater during the progress o[ snch im�vnvemruts to :.ny croswuer �vhuse suPP�Y <br />may thus Lc cut o(t, ur b�c7liqnLlc fCu�r :my dnma�rx {o� jts Cnilure so to do. <br />.Sp�ilicntinn No...........Q..1....��.�.._.1.-........-%�D-� <br />I31ock.. f��f... . oti`'� —� 7....Stre t� 1 .' <br />_.. <br />�o..__ �2v __�2 <br />__.._ <br />_ <br />��u�—��y ��L�..���..... <br />Thc �rork to be ♦eculeJ U} . � <br />St/aje size o[ lup. <br />/L,7-.."...Tap to bc insertcd in t�ic mnin. <br />.%.........R'nler closet � , <br />_ �i '-/5 � <br />. ... L ..........13 a t h <br />— ................Urinnl <br />v- <br />..._..._ __.Plnin fnucet inejde <br />'-- _ <br />...._........Sidc ���alk �casher <br />-�-.......Ilosc 6iL outsitie <br />_.—...-.]inse bib for buil�ling ��urpnses <br />..'—:...Ilose LiL inside <br />�_..Iiib for slablc conlnining......_............sta 1.�, <br />.. _......_ _. . <br />\unibcr of persons in tamily � <br />...�......Tumbcr o[ rooms in building • <br />� yremises nre to Ue used � �_p <br />, � . .� ._...... <br />n' �icr of thc pra+ii=es �s ��L ,L�-� <br />IX.JL�J <br />_ <br />..�nt is...... .. . <br />. .. . ._ .. ............................. <br />� aDPlicntion, nithuuFh signed, ahnll not Le bindir.ti upon lhe Cil until <br />�'�y liic Superintcndcnt uf thc� tcr epnrtmcnt. Y' <br />Signed.�.G �2. //' . . <br />. ......!� ..... �DPlicant <br />/ <br />,����t,c�a �.°-.�..3._-......iaz�7. n3•.. <br />� . � . Siq�rnnhndont_..� <br />
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