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1809 17TH ST 2018-01-02 MF Import
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1809 17TH ST 2018-01-02 MF Import
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Last modified
1/26/2023 8:35:36 AM
Creation date
4/4/2017 2:59:07 PM
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Template:
Address Document
Street Name
17TH ST
Street Number
1809
Imported From Microfiche
Yes
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W. D. Form 4—Itoo_&P.Co.—&26-21 ' <br />City of Everett --Water Department <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />Everett, ........................ . 1 . ../.z.........._.............192../ <br />To THE SUPERINTENDENT OF <br />THE <br />EWAIVERE R DEPARTMENT: <br />CITy OFI hereby apply for the use of water in accordance with the rules and regu- <br />lations of the Water Department, for purposes and fixtures stated below <br />During the time that any of the water mains may be taken up by reason <br />of any improvements authorized by the City of Everett, in or of any street or <br />alley in which they may have been laid, the City will not be required to furnish <br />water during the progress of auch improvements to any consumer whose supply <br />may thus be cut off, or bbeCliiabblle� ff r any damages for its failure so to do. <br />Application No........Q../...f7...1..-•••••,-•• 5 % 7 <br />... <br />. Add .................. ......................... <br />Block......../......ryry..../� 3... .... � 7.._ <br />No........ ../.... Q... (v..........- ......................9treet <br />........................................................................................... ......................... . <br />,,Qy.,«n� ..... <br />The work to be executed by ..................... ................. Plumber <br />State size of tap. <br />...Tap to be inserted in the main. <br />...... (........ Water closet <br />...... /......... Bath �;......, , ✓/�! ...—._...Urinal �.. .... <br />..,_z__.Plain faucet inside <br />............Side walk washer <br />.... Hose bib outside <br />................ Hose bib for building Purposes <br />....... .....Hose bib inside <br />..... Bib for stable containing....................Stall.................... <br />Number of persons in family <br />.... ,j......... Number of rooms in building <br />The premises are to be wed as a..,..,...... � .. ..:... <br />.......... <br />The owner of the premises ie........ ....t...- - / <br />isagent is ........ .............................. ............................... <br />This application, lth s B nat.be-binding upon the City, until <br />,ted by the Sups a 'ate apartment. <br />Signe ... .......... ......AP icnnt <br />�.......192.../ y .... <br />ae <br />.�....�..... .. tendeat <br />
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