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<br /> � C1TY 0� EVCRETT==�Vat�;r Departn�ent �
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<br /> Applica4.ion for� Wat�r `�;��
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<br /> All blanks must bc filled in or crnssed n [ ��� � "R�'�
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<br /> 'CO THE SUPL•'RIN1'GNllGN'P N�TIIE\VATGR UGPARTMHNT,
<br /> C17'Y OF E7F.RETT:
<br /> 1 herd>y apply f������e u�e of u•ater in:icco�'d:.nce��'iUi il�e rules and regula- i
<br /> ti m;��f Th�Water Dzp�rtm�nl, for purposcs and h:cF,!res stateJ bdo�e.
<br /> Uurin�the time ifiat any ot the waler mains iaay be taken up bY reason o(
<br /> :my imPrnvemenls authorixcd by �he Ci�7 of iiver<tt,in��r o( an)' strcet �v allcy in
<br /> �.�•hu:h[hev m:n'have bcen I ud, the�itv will nM b: r�quircd to lurnish water during .
<br /> the prnqress nf such impro��mants ln any consumir whnse supp�y may tUuti be eut i, _,�
<br /> nit.ur bc liable(or any dam+qis (m its Gilure so '.o�a . : t;�- � . �f,,
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<br /> 'Chc premises aro to bc useJ as a1"_ .�/� �� � ��Q � ---- ----�
<br /> 'Che owncr of thc premises is -J'=f-I.�---��-'�`-='�..----. .
<br /> The aFent is. " ' _ " '_" "' " '-�_'�."�.^.e� "..____" ____ _
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<br /> T6is apphcat�an: although signed,sb:Jl not bc binding upan [hc CitY� until ao �i i.
<br /> �pted b>''1'he Superintendc/nt ot� e 1Vn r Dcpa/rtmenL � ����� .
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<br /> SiKned _ '. _ J �"" " " pplicant � b'�`,� ..
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