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i <br /> � <br /> � <br /> r_'/lTp .e_r�.? ; - I <br /> . . ` ` � rrr� 7' i'1 3— f7-r i <br /> w, o. r�:.�, . iseo 3-i-i;c.a. ' <br /> CITY OF EVCRCTT==1Vater Department . ' <br /> Application for Wate� � <br /> � <br /> All blanks must bc fi in or cross out <br /> s.e«•u.—�� _ ��' <br /> _�F' '_' __"'_-____.'.._'_.19�r._' <br /> TO TI1E SUPL•'RIN7'FfiDENT OF THE l4hTER DEPqRTMENT, <br /> Ci1'1'pF IiVERETT: <br /> 1 herrh��aP��S(or ihe use of water in ncrnrdance n•ith the rules and regula� <br /> tiom of The lVater Drparlm^nt,(nr purposca and fizlures sfated below. <br /> an�� imPU�rme tseao hor icd Irv thc�C tr nf Lvcrrtt n,o��( 'anynstreel or ailey in <br /> which they ma�•Lave becn laid,�(he City wi11 not be rcyuired to furnish x-ater during I <br /> �he prugress n(such imprwements tn any consumer whose supply may thus be cut <br /> �iH, nr bc Iiable for any/7d�magcs(opr its(Tilure so to do. <br /> APPlicntinn No.__/_7_�O__'____ I <br /> [Slnck .____.25 � � �. <br /> ____'_ Add.'_.•.�a,'._, � = <br /> �7 __' <br /> '_ ' -____..__' <br /> Nu..___ < _ � -_'_- <br /> . . �_7 ____ - <br /> '_"'-'_-- _---_-'__Street <br /> ----' <br /> "fhc wod: to be executed by.___'__._'____ '_ '�'-_-'-__'..'_"_"_"_'__'_. <br /> . _.-_�'______.__,_ Plumber <br /> Slatc.' eof Inp. .. <br /> i ^, _ <br /> -- --=z'-T�p to be inserted in ihe main. , ;. � � - . <br /> ------�--1Valcr clovct ��'"� <br /> � � �" �"�'- - <br /> ----- . ta�w <br /> --�`-'�-- <br /> --• -- .t�rinai-- _ <br /> -----�-.-Plain (auccl inside , <br /> ._-_""_S�drnaikm�her � . <br /> -.__—J._Hosc bib oulsiae <br /> -----.�lose�ib-v�-bm,a,,,� ``. j� 1F," <br /> x N ���,�e� <br /> .._---'Jloee-bibinsicic-' - ... ' <br /> ----------Ii'b-rwr�nblc-rv„tatM„F--_�_��_�-� ---"�q .�; ', <br /> ..— -__Numbcrafpersonainfamily , � `1��.'.. <br /> �--.s_Numbcr nf ronms in building � �' `. . �.. <br /> "1'he premises are lo be used as a_.__. f-c.'�. _¢ ..._� <br /> ' �f, <br /> . �_��_ -.._ <br /> Thc owner of Ihe prcmisen ie ___ _ �� -- <br /> .._.'. <br /> "'"_"� - / <br /> ._ "'_"'_""'_F <br /> •+:,, . hc agent is -"._"_ <br /> ' 1'I�is npplir:inn,althaugh signed,sLnll nat be binding up�n thc City. until ao <br /> , ;�'� by Thc Supernuendent i�f the W�utcr Urpartricnt. <br /> � . SiNned ___.��_��.( (.c �� <br /> _ <br /> ________ <br /> " � '-- ' Applicant <br /> r::-; A:.ceptcd---------"- <br /> "' <br /> -..'' , '____]91 �7�. , <br /> ' - -- �� -- uoetlntendem- <br /> ,.".'Y�'-. <br />