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2801 16TH ST 2016-01-01 MF Import
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2801 16TH ST 2016-01-01 MF Import
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Last modified
4/19/2017 7:53:59 PM
Creation date
4/4/2017 2:29:10 PM
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Template:
Address Document
Street Name
16TH ST
Street Number
2801
Imported From Microfiche
Yes
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�. ���� _ ; c' �- i ' _ E-��m�v /�--: r_._ , lj ; <br />. �✓ - . <br />W. D. Fmm 4 I500 8-I-17 G F. <br />� C1TY OF EVERETT==Water Depart�t�erit <br />�gplicataorn fo� Wate� <br />:\II 61an1<s:uust 6u (Iled in or cr�sed uut <br />� t�- ` <br />Iivemtt. ' � __ ______.."_ _______ __. _. 1Di�/ <br />TU 'fHE SUPERI VT6NU8N7' OP'fllli NA'1'ER DGP:1N1'�]EK'C, <br />C17'�' UF BYIiRGfT: <br />I hemby apply (ur the use u( ���ater in necordance �cith the rule� and re�ul:�- <br />tions uf 7'hc� Water D ep�rtm �n[, (or purpnxs and fiztures sta[ed bclo�c. <br />During [he timc that any uf the watcr maim may he tal:en up by rc.isnn n( <br />anl' improvements :mtliurizrd bp li�e Ciq� uf rcentt. in ur nf anp strcet ur ::Ile•: in <br />�vhich Ihey mal' have been laid, thc City will nol be rcquired tn (urnish water diuintt <br />the pro�;ress u( such improvcmenLi to any emsunu•r �chose siq�ply may Ihus L�� rut <br />uif. ur bc liablc fur :iny danrii;cs (ur it� (ailive su tu du. <br />:lppli^nliun Nu.._%��s� <br />___' ___._'_"_' <br />Iilnrl; _.._�� r _.__._Lol�_��'��.'._"Adii . ... ._ . <br />'<��. _ol. �'O I — IG _ <br />— _ _ ----- --- - - ---- .. sv��� � <br />— -- <br />l�l�r a•arA ta be exccutrd by____"'_"_"'_ '_""_". .__ . _ Flumbrr <br />Scvr _ zc u( Iap. <br />�:� � <br />�.�-i_"Pap In bc insrrted in thc nmin. �.� _. <br />_. ___/_'1Sa,or do=„t <br />. . . _�.__ L'aih <br />_ . ___' .Urinal <br />_'""_'_'Plain L;un�I insidc <br />._.__.._,_Sidc �ealk �,c:i�hcr <br />'_"'_ _ "Iluse bi6 oulside <br />_______ __Ilo�e bib forbuilding 1>u.�:u.ca <br />-_-__.__-_liosc 6ib insidc <br />- .__'___13ibfurstablecon[;.ining._..._. . �tali ..... <br />_.__. ____Numbcr o( persons in t:mrJy. <br />___'�__'Numbcr n( ruonis in buildi�iF <br />The premises are tn be nsed as ;i _. _ _ .. _ . _ _ .. _ . <br />:�hco�vneruf(hepremisrsis._'_. ......... ..... _ _ ..�� <br />7'heaKentis _ _____._._____._._______. <br />�nds :�nni�;:�uo��, :aa��,��i, ���;�,�d. ,i�an not 6e 6inding upnn thc Ci� until :r. <br />crpled by The Superimendent nf the 1Vn�tepr �7epa ment. \ <br />SiRned/�%iLJ__ .��..LI--'�_.__ _ ___ �.___Applicant <br />_- <br />Arccptu,l ���.��-. 4j' Rc <br />, .-_..��, , - .''=r' --._ . _ ...... <br />.��, � ._ - i ..., <br />
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