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1208 41ST ST 2016-01-01 MF Import
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1208 41ST ST 2016-01-01 MF Import
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Last modified
3/31/2017 11:51:16 AM
Creation date
3/31/2017 11:51:12 AM
Metadata
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Template:
Address Document
Street Name
41ST ST
Street Number
1208
Imported From Microfiche
Yes
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. S..'�— _ c".:==_..:. . �_.. . . . , .' . <br /> �—��� ���/- �/- :6 - ->-:'- -4�. . , , . . <br /> \'.. p. Fcn� 4 ISCO d-1.17 C.P. , • <br /> ClTY OF EVERETT-=Water De�artmen�� <br /> Applicati�� $��r VVater , <br /> All blanks mus[be�' ed in or crnsscd �R <br /> Ererett.. <___/=��/a— � _ ---�---'--lYi—.��. <br /> �G��% �l <br /> 'fu 7'Hli SUFF.RINTENDIi,\"C O�'fHli lVA7'IiR UGf?ARTIc fN"1', <br /> CI7'Y OF @7l?RE7'T: . <br /> 1 hrrehy apply fur Ihe use o(wao•r in :�ccurJmice u�ith [:ie rules and rcF,��la- <br /> ii.ms �.f'fhe W.ter Depir6n.;n!, (nr purpases nnd fixWres s[ated below. <br /> During the time that �inv nj lhc w,rtur ntains may br tnken up bY rea;un of <br /> :iny improvrments authnrizcd by Bir Citp n(L•vercl[, in or nf an3' strcet nr all.�.y in <br /> �chich they maS' have bern laid. the Cih- �-�ill noi be required tu fwnish waler dering <br /> ti�c�xn�;nss ot such improv�ements tu :my cunsumer x�hnse cc�:ply may�hus be nit <br /> oi(.or M1c liable tor any�d�amj:�Re�s tur i s failure so/to do. <br /> Applicatiun No.____G=� `�`�`" � � u(p <br /> '_�_____ �._ <br /> 1?luck ._ _�___ .__ _.l.ol �.__ _._._______Add_'_""""�____' <br /> Vn.__���[f— L�j` ____.Slree[ . <br /> _ _._. .`� ""._".__.. <br /> "fhe �vod: tober�ecutedb}' _____________�_ . ----_�__. -'._._ _ . . Plumber � <br /> 5 .t^s'rn �pp, <br /> '�� �� <br /> '�j.(��-fn be inscrtrd in the m'ai.i. <br /> .._..�...1Vater clnset <br /> -__._. . Bath � / ;�'va <br /> � <br /> .- . . . Urinxl - <br /> . . ___Ylain (aucet insid,. <br /> _..._-Side x�allc washc: <br /> . _ .. __Hnse Uih uutside <br /> - "_- - 'I:osC bib (nr buil�lin�purVopes <br /> . .. _ __Hnsr. bib insiJe <br /> _'_______P,ibfors[ablecontaining____.__ _. stail___ � <br /> F_a_ <br /> -_ ..__.Numbernfparsunsin (amily �.. <br /> l i <br /> . _. "✓_..Num6er uf rnnms in buibling ; / <br /> 'fhe premises are to be used +is a . .. _ ..__ <br /> ..... ..... . ..'_ _ <br /> ____. ___' -' <br /> _. <br /> 7'hcowncru([hcpremisesis _____._ ___. _ <br /> _._.__._.___'__'__'.__"_..___. <br /> Thc aSe.:t is ._._.._ <br /> .._.__._. . . _. _.. , <br /> 'Chis applica[ion, allhouph �ignci!. shall �wt be binding upnn lhe City. until ac- <br /> cepced by "CL•e Seperimm�dent nf .Le Wut�.r Urparunent. <br /> �7 / . /' i <br /> Siy,ned _ r.>y�_L-.�.R-�(�{i � <br /> / p �..-._- - -__..'__qpplicant <br /> .:epicd-/� -_ "J. . . _1 12_ R�� J <br /> . . tj�er/��----� _ _�arim.... ' ' <br /> i <br />`.. - . __ - <br /> ..w�..w.. <br />
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