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1510 17TH ST 2016-01-01 MF Import
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1510 17TH ST 2016-01-01 MF Import
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Last modified
4/12/2017 8:53:58 AM
Creation date
4/4/2017 2:58:00 PM
Metadata
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Template:
Address Document
Street Name
17TH ST
Street Number
1510
Imported From Microfiche
Yes
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: r,C��i-�4 ISLUe-I-I]C.P. � <br />�TY 0� EVCRCTT==Warer De�arta��ent <br />�pg�Y;��cat�on for 'Water <br />VII bianks must bc filled in ur cr�,s;rd oul <br />. / '— �'2.�� L_ ...191 C .. <br />GvcrctL <br />�IJ1) '1'lili SUPIiRIN'fCNUIiN'f (1P'I'HE �VA1'ER DrPARTn1GN'I'. <br />j crrv or rvr.a�����. <br />I hereby aPUly fur ihe use of ��'�trr in acmrdance �vi[h the rules :md reF°I°' <br />/ti m; �d "fhe Nater Depnrtm mt, for p���'P��es ami fis.ures slated bclmc. <br />During the time tha[ :my i�i the w.�ter mains'n��nr �( �, n} �st�rect�}��rPalley in <br />an; imPruvements authn; izcd by thr Ci:y o( Everett. <br />«c' �h t1�eY :��;�5' h�rvc hezn laid. the Cily will nn: t:e requireJ tu furnisL �vater durin(; <br />uu� prnprc:�s �d surh imProvcments tu any c����sumcr x'hosc supplY may thus be cut <br />utL ac be linhle (r� �'S d;una8�s for its failu�'c >o tu dn. <br />� .' ' '' <br />f. i . ... ? . , <br />Applicntiun i�n___________ _____.._' ,. <br />' G� .__Lut._' �_-._-_�RM��.Stre�`�I yr `� (, F_'_. <br />"_ <br />k3luck __._l-�___ -- / <br />Na.------/%.7 /..�_- - � <br />_ _.- <br />. �3-L O.-I-`'/'-. __. .. <br />_.._ ____.- _ , /; � � Q� � <br />..._._________ --- <br />�.-4i-•�-""_%___ Ylumbcr <br />9'I:e wnrk ta be esecu[ed by ---'— � . <br />St:dc sizc ��f tap. <br />/ rl <br />_�,_____ Pap to bc ins��rteJ ;n t6c mnin. , . <br />_'_ � _'__�1'atcrcluset � <br />i. <br />'__'{"__Balh �� :1' . <br />__._.___ .Urinal � . <br />_____..Pl:iiu f.wcet insidc � <br />.__'___Sidc walk a: sher . , �'� 1 ,,, '. <br />� <br />.._Hose bibnutside �; ' ^ �.1.`-'�• . <br />___ {' <br />. ____'___Ilose bih (nr buildinK P��rpnses ..� 41 ..�y � :..� <br />, 'r <br />- . __"_Hosc bib iusidc ,. . , <br />� t . <br />•�[all__..__"_ r, <br />_'__'___I3iUG+rstablecontining__-----�� • ♦__ � <br />__.Dlumhcro( Pcrsuns in (amily • •:-�__� � <br />._____. .a `,. ,_�' . <br />.. � - <br />_ _L�_____Number o( roams m bwldinR � ^6.+".�.`-�=' <br />'I'he pre�nises ure tn be useri as a__.- <br />. ___'___"'.."'.'_""___'_'_" <br />'Chrownero([iePrenuses ____'..._-_ <br />__-'_' <br />" _ _ <br />____._ _ <br />'Chc aFent is__"'_'-_'.'_'__'__"_.____ <br />' __-_ ""_____'_""_"'__ <br />"1'his nVPli�:�tion. althouFh signed, shall nu[ 6c. 6inding upuu [hc CitR i'n[il �ac <br />r��pt��d by'1'hc S�.�P�rintendent u( the Nater Depxrtment. � <br />�.., �./__� (/f�, _�____' APVlicmt � <br />SiFn�d._ �v�. �_. / . . <br />/ � �� <br />Accepled./.�- ..I�IO 191 B�i , ..�. , <br />i <br />: i <br />
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