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�. <br /> '� � <br /> , <br /> �.���i.���� c - � r - t-� . . <br /> - w. o. r«�- 4 ic�oa-�-,�c.P. <br /> C11fY 4E.EVERE'fr==Water �epariment <br /> Application for �1Vater <br /> All blanks�uus[bc filled in or crossttl out <br /> F.vrrett. . ...--- --"-'-//�y-"'__191�'�_ <br /> 'CO TIiL SUPBRINT6NDIiN'I'OP'flfii�VATIiR DHPARTn1GNT, <br /> l'ITS OG 67GK1:1"P: • <br /> 1 hereby:ipply Inr Hie nse ut���ater in :�ccordance���ith the rulcs and re�ula- <br /> ti�.in,uf 1'hc \Vater Departm�at. (or purposes aud li�(w�es s:ated belo•,v. <br /> DurinF Ihe time iha[any o(the�r:uer mains may be takcn up by reason of <br /> anc imnruvement.authorized by the Ciry�ot �rcrett,in nr n( anc strmt nr alley in <br /> �vhicli thry nlaY have been laid. Nir Cih• �rill not be nqui�eJ to (u:nish a�ater during <br /> ihe progress uf such improv<ments tn any consumc� �ehose supply may thus be cut <br /> nf(, or Ue linblc for any dam:iK�� [ar ils failure so to do. <br /> Applirntion Nu.""�.S�_________ q <br /> 131uck ._��Z__' . __Lot.1� _ �./___"""..1dd__'_ <br /> � _ .--.-"'-----'-- <br /> , No.._.. ��n /. `�'�r5n.���_�-`!`L.-..Strcrt <br /> ""' ' """""'___""" "'_"" _"'"'" <br /> The ���ork to be e�eculeci bl'------------ - Plumber <br /> .� Slat^sizroflap. �__:_'__"________" <br /> - �:._�.__'Pap lo hc inscrted in lhc main. ��j� . <br /> �o • <br /> ______.___\Vatec dosel '� � '� <br /> - --- �,��, � y � <br /> -- -_ .u���„i � <br /> Plain taumt insidc - <br /> .__.____'_Sidc walk�vashcr '-. <br /> .___'_""I losc bib outsidc � � <br /> _____"___Ho=_ebiblorbuildiugpurposes 1/�' t . <br /> ___._____'llusc bib insidc � \Y�. <br /> /'.""."'I3ib far stablc cnntaining_"_'__"'_.sLdl__..___"' <br /> ____._"'Numlicr�[��ersnnsinf�iiiily �� - . <br /> �, _"'.____'Num6cr u(mnms in building . <br /> The preinises are tn be uscd as a__"J""_""""""'.""'_"'_'r__' _'_". <br /> The na•ncr of lhc prcntises is __.__.�f.��_.. <br /> c� �-- - <br /> ----..__ <br /> •n,c ar.cnt is .--------- ---� -------------- �----- <br /> _'__._"".__""_____' <br /> This npplicuion, although signed,shall mt be binding upon the Cit}'. tmtil ac� <br /> cepled by'Che Superinlendent uyC tLc 1Y/nl�cr[7D�eparlmenl. <br /> f��� / / {� �—y'�J.�,. `�j y/��� � <br /> Signcd . '_-/�._..liT./�i.//(..�.""=---� Ap•�licant <br /> I .___'__. _' <br /> � ��qyy� <br /> AcccPlec� _.�/-c"_J�y' lI <br /> _ ' _'__"" _____""""'_ <br /> � .3u,�erintn:rnt <br />