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3110 13TH ST 2016-01-01 MF Import
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3110 13TH ST 2016-01-01 MF Import
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Last modified
4/4/2017 11:32:47 AM
Creation date
4/4/2017 11:32:40 AM
Metadata
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Template:
Address Document
Street Name
13TH ST
Street Number
3110
Imported From Microfiche
Yes
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, <br /> _..._�_ <br />� <br /> f <br />, <br />; <br /> f <br /> 11'.D.P��:ri.l- l:,i.o-.E.P.Co,—"u-^_f.?1 � <br />� City of Everett---�Water Depai�tinent <br />� �P�'LTCA'T'ION FOR WATER <br />� :111 LlanLs must hc filled in or crossed out <br /> I Evcre.t...................................//.�3.........._...__...1!1'?b.. <br /> I PO 'LIIG cUi'lilt1:�1'EDillEV'f OR 1'IIL�' R411T2 DB?AP.T)IliN7': <br />' CITP OP �V�RI?TT; <br /> i hereby npply for the u;e r,f tvater in acr,m•dsnce with the rules und regu- <br /> latior.s of the �Vater Department, for purposes and tis'mes stnted bclew. <br />'� During the timc that any of the teater maius nmy Le tnlcen up by re:uon <br /> of nny impruvemonta �atho:ize� Uy the Cily of I;t'erett, in or of anc strcet ur <br /> ❑Iley in tvhieh Ihey map hnco been laid, the City �ci11 not bo require�i to Lurnish <br /> u�:der during iLe progress of Auch improvements to nny a�u.umcr �vhusr suppiy <br /> mag thus be cut of[, or he lisble for any ;1ama�*es for its iailurc �o lo do. <br /> 9s 7s - <br /> Application No..__......___............_........ �% ��' �� � <br /> �lu�l, ....... . .... Add._ .. <br /> _._. Lat ....I� ._ . . . . . <br /> ?Qo . — _ <br /> .............. <br />. . . .3'.� � U_. . ..... �. 3_,_'�.._.............Strcet <br /> I <br /> i .__.__.__._................................_................................_.. <br /> _....__......._.. ............................_... ... <br /> 1'Lc u�ork to be e:ecuted by._.____.__ . _ .._.. _....... .. __.................F7muUcr <br /> _ <br />� St�t/q =_ize of tap. <br />� ...../�-��_Tnp to Ue inscrte�l ir.•the main. �� J <br /> � 1 __�' <br /> ......._�_...�Pnter clase[ �/y � . <br /> ................P,nth , <br /> -- <br /> _�....._...:Orinal . <br />� ...............PI,^.in fnucet ineide � <br /> —� � <br />� .�.............���dc �eall: �vashcr . � '-`' '_'.� ls . <br /> "�li� _ „ , ' <br /> �--�............liosc bib outsidc � � . ,� � �� <br />' ..�.Hose bib for building p:irposes.� : . .. : -� . <br /> -�Iose biU inside .. . ., <br /> I ................Bib for stuble containinfi................._..;tall......_...... <br />�� ................nun:Uzr of persons in f;nnily. <br /> -_..�.......Numbcr of romns in building , <br />�i .. <br />� � � Prcmi,es nre to Uc used as n�/�---_�1-�i 0 Y.. _ . ...._. <br /> j a�oner of the prcinises ia. i i vv� �,,�.,_ <br /> lu.ent is...... ...... .. ._... ........ . . . ...�`..... <br /> .......... <br />� �. ��ication, nithough signed, simil not Ue binding upon the City, unti] <br /> tLe Su?erint�ndcnt of thc Nnter epnrtment. / <br /> ��.gned .�.�....��L� ....�4��`Z�GC ..._4/ l�..rtZ !!PPlican <br /> � \. / / � <br /> i .7_-_._. ...192h. i3y...[�. �y ..� . ....... . ...... <br /> �irrintendent <br />� <br /> l . : - .. . .. - - -. . . �.. _ - _ . _ __— <br />
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