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2030 SUMMIT AVE 2018-01-02 MF Import
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2030 SUMMIT AVE 2018-01-02 MF Import
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Last modified
3/11/2022 3:32:46 PM
Creation date
3/10/2017 1:02:01 AM
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Template:
Address Document
Street Name
SUMMIT AVE
Street Number
2030
Imported From Microfiche
Yes
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- - O � <br />Form No. 14. OC.(J3 r� � t No.... Q V .1Pnl No....•. ........ <br />Z ......� <br />.. ..... .. .`... ..177-'� ...... 194*y <br />Q'O T146 SUPERINTENDENT OF THE F•.PERI3TT WATER COMPANY: <br />1 17 )p apply for the use of [cater In accordance with the rates and reg nations of the Everett Water Company. and request <br />tlmt a.... ...Inch tap he inserlol in the In the lace all at el <br />The 11 'her who will do m3 work is........- ... .. ....... ................... .......... ..� .......... <br />The owner of the premises is................... 1 .... ... ...... ......•.... ....... ............................. .. ......... <br />Theagent Is ................................................................................................. .... .\ ........... <br />Tiletenant . ant Is .............................. (,,,�/. .. ... '...... ............. ............. ................ <br />././../.,{./ <br />The water rent should be charged to <br />o. ....... ......Y/':..^C"".. ....... ..... . ....... ..................... <br />Signed... .. .. .. .... .. .... ............. �.............. <br />(See Other Side). :Applicant. <br />
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