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2609 16TH ST 2016-01-01 MF Import
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2609 16TH ST 2016-01-01 MF Import
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Last modified
4/19/2017 8:07:59 PM
Creation date
4/4/2017 2:25:53 PM
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Template:
Address Document
Street Name
16TH ST
Street Number
2609
Imported From Microfiche
Yes
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- - _ � �i _ � <br />u'. D. Fcnr. a �seo a-i-i% c. P. <br />CITY OF EVERETT==Water Qepartinent <br />�pplicatiori for Wat�r <br />:111 6lnnks mus[ be fille�J in ��r crnssed uut <br />__= 6 <br />� `� .�.`i i�i`1. - <br />Everclt. _..- -____' ._._.. _. <br />'I'O 7 HE SUPHRIN"1'tiNUIiN"I' OF "IHIi NA1'IiR DGPARTn9EN"1'. <br />CI7'Y OF IiVi?I2E'fT: <br />1 hrreby apVly (or tlie use n( watc� in ,iccordance wi[h thc rule, and reguL:� <br />tion; ��f 'Che Nater Dep�rtmeut, (ur purpose. and fixtw'es s[ated belo�r. <br />During [he [ime tl:at ���y ��i the w;�ter maius may be taken up by «•�son u( <br />:m� impruvements authorized by [iie Cily n( Gvefetl, in or n( any stre<i nr allcy i; <br />u9�ich theY �naY have been Inid, the City ��'ill nnt bc required tu lurnish wa[er durinti <br />dr prn�ress of sud� improvaments [n mip consumer wh��se auyply may Ihus Uc cut <br />nf.. ��r be liable Inr any daniaK�'s (or its (ailure so m do. <br />APPlirntiun No._-- �I n {:. ��- --" <br />. <br />. '__' _ _Lut'__"_'_ ' _ '_"AJd_ _._.____. .. . . <br />Rlock __ ___ _ <br />� b - �'- �� - -/. 6 -- -- _ sv�ei <br />_ k-%L <br />\o. ' "'"_ "' <br />_. . �. /� <br />___" _"'__" ' ___'.__.. <br />.._'__'_'_.._ _'_ _"_'____'_"'_' <br />/�-, o_.-�"�. _'_______ Plumber <br />'fhe work Io be executed by'- ---J--�-���— <br />Sta(c size ��f tap. . <br />I/ �� � <br />/�.____1'ap to be inuAed in the main. a <br />7 <br />_�__._ <br />Water close[ � " <br />__�._.__ I;a[h ,%% <br />_ .LJrinal . `�"�4 � . . <br />r, <br />.. Plain faucel insidc , �� `��n '� � <br />_ �: .:{f� <br />_Side wnik ���asher � ,.� ���+ D�� �., <br />.__._. _ .--fj,`��1` �,, . <br />_.._Hnse bib outside tij1} tf �, . <br />�'_�_ 13ib(nrntablecnntammK._.__._--.�.�, ���� , <br />____'____-Hose 6ib for 6uildiny p������� ''� � � ` � <br />..._.___._iioscbibinside ���.� ������.. <br />s� L' _ <br />-__"' _'-.Number nf Pcnuns in family � y' u�± <br />, 1�'___Numbcr af rooms in building <br />"ihe premises are tn be use� as a_.. __---------- � <br />___ <br />.____._ .__'_. <br />. _ ._ __________________________ <br />'fhemvnera([hcPremi,esis__---'------�- , <br />Thca�:ent is ___..--�--....---------- ... � -----7--- <br />'fhis apPlicalinc, althouFh s-igned. shall�no[ be bindidg m Ihe Ci un�il ac- <br />_ '_'_' / <br />.��d 6p T6u Superintendent �'( the Wnter Depnrtment. <br />� � _'_ ��litant <br />c <br />S�ned_ _...____.-.__._._._"'____/ .-_.__ .'' f� , <br />J -' , � <br />, _ <br />� <br />- __'._.�___- <br />„ _i.. l!II :' 4�'_.:_..�--... --�_"__'�.:,-.;,; <br />i.ricPted.. _ _... _ .. - . , . . �rn,um <br />
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