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. . . ._�_......_ <br /> ., - . - ,� - -. , .L., r,.. 1� :, ._-- -- �.. <br /> � <br /> N'. D. Form� IS00 �-i-17C.P. , <br /> CITY OF EVERLTT�=Water �epsrtment <br /> App►lication for Water <br /> All blanks must bc fillcd in or crosred out . <br /> _--_ .-. -. <br /> F.vcn:tt.._-'----- �2.-�- ----I�r.?' <br /> TO 7'IIE SUPGRIN7'BP.DIiNT UF THE WATER DIiPARTA1FiN7', <br /> CI7'1'OF EVERE7"f: � <br /> I hcreby apply (or Ihe use nf water in aceordance aith the rules and regula- <br /> tiuns uf'Phe R'atcr Uepartm:uv, for purposes nnd fixtures stated bclow. - , <br /> DurinH [hc timr �hat any u( lhc watcr mains may bc taken up by re.�run nf <br /> any improvements authuriud by the Gty of Fvemq,in nr of any slrcel nr nlley in <br /> which thry may havc bcen IaiJ, Ihc City will nu[bc nquired :o lurnish wntcr during � <br /> thc pmgress af such improvamcnt� In any consumrr whnsc s��nr�r ma}• thus bc rut <br /> o(f. nr bc liablc fnr any damaK�y!ur its(nilure su In du. . <br /> Applirntiun Nn.._____!._�_5 Z' ' <br /> 131uck .__�O S ....___U�L'_�'��__/"'__._"'_AJd.�_�._'_:..._.._ <br /> . .___ / ___._. <br /> .'�'n....----�-5 3 2-_ �/?r_!f_-cc�.c_c!�r �Street <br /> __ __."" � 4'_1_'""!"L."/""" <br /> .. .._. ..__"'"...._"_ ' _.'"�"' � p ""_""""""'"""'_'.._. <br /> '1'hcanrktoM�executedby___._._ ¢4._kc'__.__..._.'.-___' I'lumber <br /> State sizc o(lap. <br /> � � <br /> .._�/1.,�_..Tap to bc i�iscrted in thc main. ° . <br /> / . (5 '--� <br /> .__�._.Natcrdaxt � �y , <br /> .__.�___-13a�h <br /> ___ <br /> '_._ .Urinal �•�1 <br /> ` <br /> ""_'_'_.Plain taucet insidc . •''j�ti.'\ <br /> .__.""'_Sideanikw�sher ' . % r��� <br /> ' �,!� i <br /> ""_"'._Hnsc6ibuuts�dc � t�{ � <br /> ".11osc bib forbuildinR Purposes �/.�..� .� <br /> . ______"Hosc bib insidc � ',`J� <br /> ._""""Bib tor stablc cm�[aininR�----..�.slall_..__"'.. <br /> ___'_____Numbero[personsinf�mily � <br /> _._�,___Number n(rooms in builJ9ng ' <br /> � , � 'Chc prcmiscs arc to bc uscd as a�_--____ M�?'r!-2!-'„4_'�-9'� <br /> ,(� .._. <br /> Thenwneroflhcpremisesis __ _..___.____..._. ._._ �� Y � <br /> � /�-�-'� a—..�-!_ <br /> TheaKeniis .-"--'--.._-�---"-----'-- -�----�--�----'-"- <br /> 'Phis application,although siN�ed, shall nut Le binJing upnn �he City, untii ac- <br /> cePted by The S\uperinlend t of the 1Vidcr Deparlmen/t.7 <br /> SiNnc��LC��S ��'^1<_��...__'___Apl:licant <br /> �I_��N�-l=1�'��,i'I.A'--� <br /> Accepled'-- -. - --'---191 Ry_'.4__:_"/._ <br /> �—.Z/— 23 ��ir-- _""S�q.rlmmnem " <br /> t <br />