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6723 123RD AVE SE LINE 5 2016-01-01 MF Import
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123RD AVE SE
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6723
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LINE 5
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6723 123RD AVE SE LINE 5 2016-01-01 MF Import
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Last modified
4/27/2017 11:04:18 AM
Creation date
4/27/2017 11:04:17 AM
Metadata
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Template:
Address Document
Street Name
123RD AVE SE
Street Number
6723
Tenant Name
LINE 5
Imported From Microfiche
Yes
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�.��;.�..• , <br />�W.D.Rnma ILODJ-L17G.P. � - <br />CITY OF EVERETT-=Water Department <br />� Application for Water <br />All blxnkn muet I�e fi11eA in nr crnvsrd nut <br />Gvcrrl6 ..-� � -..-191.J�.ti <br />9 .___. <br />TO THIS SUPIiRINTENUIiN'1' O� TIiG N'ATF.R DF.YARTMF.N'P, <br />lI7'Y OP C!'L'RFTT: <br />1 hereby np ly fnr the use n( wntcr in :¢rnrdance with the rulcs nnd regula� <br />tinns u( The Water Plepartment, tor purMwrs nnd Lztw�ee elnted below. <br />DurinN lhe time Ihat any �d Ihr waler maina ma� Im I:d:cr up bY reamn of <br />:im• imprnvemenls &uthnrizrd hy ihe CiU• �d livcrei�. ,� ��r of anY etmrl ur nLeY in <br />whi h they may havc Leen Inid, lhe Cily will not br rrquired to lurnish wnter dminF <br />the pmNroes nf nuch improvemen�s tn nny consumrr N'IIUFY PIIj1�lI}' 111AY IIIII! bP flll <br />��(f, nr bc Ilable lar any dam: ,tcs (or ile fnilurc ao ta dn. <br />ApplinHnnNn.'_��'9'�_._"-' �` � n -" "- � ' <br />fllne�ky . _le�t_ - --�--------.Ad�F±-�--�.Cti-.y(—_._. <br />_ �._'_ '�...' _ ( <br />No...�iC..I_.Ka..D'_l4.._-._.G �.-.=Z.�._..SIceM <br />/� � � / <br />� .��/ _".".__""""""._.._ ...'__' <br />. -'u-'0.—A�D' • ' - _ ' _ /� ' - <br />..��.fhewurklobecxrcuU,dby _. ..--..4.- .--..- - --- ----..... �lumber <br />Stxteei:e��'tnp. �_��� o <br />� � <br />_� _��. __Tnp to bc inncrted in Ihr mein. ;I �` � <br />. _ Wnter clanet � �•-A �' 1 `e . � !{ <br />._.._ __ ,�� <br />-_. -.. _. Bath <br />.__ ..._ .Urinnl <br />. -_--...Plwin faucet insidr <br />. _'_"_.Sidc walk wnshrr <br />. _. _.._Ilnee blb uulvidr <br />"'"". _.Ilose bib fnr 6uilding paip��.,es <br />_ "__'Hnse hib inxidc <br />_.HibforninblecuNnininN --- . s1:Jl . _-. <br />___... _. Numbcr ot pere�ma in (nm ily <br />. _ _.. _ _Nmnbcr ��f rnums in buildiug <br />The Premieee nre ta b� uw•d as n . . - . -.. . _ . . . _.. . _ . . . _ _ ...... <br />"fhe uwncr nf Ihe Premixes is ...... _ . .- . _.... _.. . . _.... _ __. <br />Th�y�mti� ..... . .. ... ..........._ �-----. ._._ <br />. _ . _.. _...._ <br />Thix nppUcaliun, nithaueh signrd. �hnll not br binding uqm t`�:• CitY. uNil ac. <br />�rnted by The Snprrimc�ident ul Ihe Wntrr Urpnrimrnl. <br />$fNned.___'_'__'...._. .._..__.... _...._.__._...A•Plicanl <br />.__..... _ .191 Il>' -- ... .. .. . ............ <br />=a s�u.iim..�d.�i <br />' � <br />
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