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2412 40TH ST 2016-01-01 MF Import
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2412 40TH ST 2016-01-01 MF Import
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Last modified
3/31/2017 11:23:50 AM
Creation date
3/31/2017 11:23:37 AM
Metadata
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Template:
Address Document
Street Name
40TH ST
Street Number
2412
Imported From Microfiche
Yes
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.� � .: -�- -.-�� <br /> p,-„•rn — . . . . .. Iz� ��� -,-_ •77�,,. �' —, . <br /> 7' <br /> � U'. G. Ftnn 4 I500 d-L 17 G.P. ' ' <br /> C..ITY OF EVCRETT==Wat�r Department <br /> .c�Fplica:t.i�n. foY• "t�6'atex° <br /> All blanks must 1 Il��d in or cro�scd��f t <br /> � / <br /> , -- •7_� _______191� ., <br /> Frerett. .__ ._���'��_ _.'._.'.___ <br /> 'PU 7'HL SUI'GRIN1'ENUG�'1' il Hti WATER DEP.4RTn9GNT, <br /> CI7'}• pl� E!'F.RE i T: <br /> 1 herr6y apply 6�r thc ax o(water in aceordanre a•i[h .iie ruler nnd eeguG� <br /> tiun;u( 'Che Water Uep'uhn.•n4 fur purPnses :md lix[un•s stated be!uw. <br /> Durin� tlic lime tF.;d an5' ni the �cater mnin� mny be taken up Ay reasor� of <br /> ;�ny Improvemen(s au[horized bp [he Citp uf Evemtt.in or o( an�� sVicet or alle�� in � <br /> v:hich[hey rn�y h;ive hecn laid, tl:��City u�ill nnt bc reruircd tn furnish wa[er d�arinti _� <br /> ;hc Pru�ress af such improvemenl� tu anY«���::iimer �vhase supply mtn. Ihus Se ;ut <br /> idL nr be linblr.(or anY dam��Keslbir ' e failurr sn tu do. <br /> �/ / � <br /> Applicn[i�.� Nn..,/_'�;'_""'__- � <br /> 131uck _-__.-..__ .. _ 1nL_�___._____ ____Add._____ _-_..._.._'__ . <br /> \u..�'/ — ° „ <br /> .l��r�_ __!LO___'.__._____.-'._._..5[reet . <br /> ----' -----� ----- � ------- ' <br /> "1'hewod: tnheesecutedby. _.._._____'__'___'.'_'____'_____--...' PlwnGer <br /> St:t[c s� r��f tap. � - , <br /> / I <br /> ._.��.Tap to be inserled in [he�main. _� — , <br /> .��lG G <br /> . _._'_"""WlltCll'�ntiet � L/ �—" <br /> .__'"_.__.�Tl�l <br /> ___. __ .Urinai <br /> _../.-_.Plain (aucet insidc <br /> .--.--- �'de�calk w�asher <br /> _ ___ ___Hnsr bib outsidc ' <br /> ._" ' _ .Hose bib for6ullding purpus��s ' ' . <br /> '_ .____'Hose bib incide ' <br /> __ ___Rib(nrst.,blecontaining.____ _.__..etall_- . .��._ <br /> . __�___Num6crnfpennnsinfamJy . • . . <br /> . .S____'Numbcr uf ruoms in huilLin�;�i� n • <br /> �y <br /> 7'hc premises�:e to 6e used as a_._��:__ _ � / -- . —'- <br /> (�``/. (_�! �r,._c-� <br /> r;-�. <br /> 'I'hcu�cnero([hzpremisesis _..____. . ___..__. - L—.--_ <br /> 'PhcaBenti� ._______--. _____________ '_- _-'._'...__'_.. _ ._______. <br /> '1'his ap;licatiun, althougL signed, shnll nut be bindiuS��P���� �nc CitY, ��nlil ar <br /> ,�.���.;��d 'ny"Phe Superintcnde/r,l of�oIhe 1Vnte� epartmeut. <br /> SignedC�.'_l�s��L.��'�!._' _"' h""' ppnant • . <br /> /y M Y / <br /> / —j-..�1�j1� It� . �_" '. 'L �� _..24 . <br /> � - � :n;�(i��,�-",-. <br /> i� <br />���� �ri. <br />
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