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L- �� -.U �y"i-s. a_ .�� i-Yfviy6-21—Lz � <br /> Y " <br /> ` . �. <br /> W. D. Ferm� ISGO 3-1-1]G P. <br /> CITY OF EVERcTT==Vt'ater Department <br /> Applicatio� for Water , <br /> All 6lanks muct be Ilcd in nr rmssrd uu <br /> -- �/, - iv" <br /> rvcrcu. --;-j'�/�-C'.:.�---------��--- � <br /> TO THE SUPERINTENUIiKT�7� � iC WATIiR UEPART1fENT, I <br /> I OF E'/GREI'T: � <br /> 1 hercby apply for thc use of w.tcr in :�ceordance x�ith the rules anA requln� <br /> ti�.m;nf Th^ �Yater U:p.�rtmrnt, for purpnses and fiature?sialed bdo�e. • <br /> UurinG Ihe time ihat nny uf thr water mainc mae be taken up by mason of <br /> any unprovemente authnrized Uy the Citv nf Bcerelt.in or ol an5' �Ircet ar a11eY in <br /> which they m��y have bcen laid, the Citc will nnt be rcquired tn lurnish u•ater durin� <br /> the prn;�ress nl auch improvrments tn any cmreumer u�hn<e supply may thus ue ret <br /> ��If, ur be li�blc fnr any d:m�.ages fnr it.c tailure so to do. <br /> ApDlirntion S�n.'��3_�'._.. <br /> I31ock _,�'- -/S�J_,,,./-�Lut�. i___ �� _.-----Add.---- <br /> _.__, __.. <br /> \a.._f-✓/,I/7^. 4S'�"��'_'.'__._.__..Sireet <br /> / <br /> TheworktoUeesecutedby_______________ _ -_____._. I'lumber <br /> . _.________- <br /> Statc.=" cof tap. <br /> ! I._ .�_7ap to bc i�seded in thc main. � /�p p <br /> ____/___l1'atcr dnsct <br /> ___/....Bath I <br /> .. _.- .Urinal � '. <br /> __._. _..Plain fnucctinside <br /> .__..__Sidc walk u�ashcr <br /> _._.-_._Huse bib oulsidr <br /> _."_"_.Hose bih fur P,uilding pwpnses � � <br /> -__"'_.Hoscbibimidc '�\ �' <br /> � -i <br /> r <br /> ._"'.__.tiibforsl2Uiccmllaining __________.slalL_...__-• �; <br /> ."'__ 'Numbcr uf persnns in temily <br /> ___ <br /> '_____�-Nmnber of room�in Uuilding `� ! . <br /> . Thepremiscs.rc:obenucJasa__'. ._____.' , <br /> _ \ t <br /> _'_"' '__"_"'_" <br /> �5,�1 ,� <br /> Themvnern(U�eprrmisrsis _.'_____"_'_....'_._...____.__..___ _ <br /> '.'_ <br /> i �_' ,fheagen[i9 .""""'_."' ___"'"'__" "_"_"___"'__"'�i"" � <br /> �+' \ <br /> This applicalion.although signeJ,shall nut be bindinR�ipnn Ihe Cil9� �untl�� <br /> i <br /> a�pted 6y'Llie Superimendc��n(t7fe 1Vnter�part�ucnl. �`� � <br /> �,. � � �/ <br /> � ; � S�gned------�� - �.v�-f!'-- --- ---A��� <br /> - --' <br /> � :lccepted.�e_�/___..19�_ I3y__'_��!i. <br /> r�� _ __ _._____ <br /> ;<i inl<11ent <br />