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� <br /> 'L��� y�—� 3-zG-`.'I <br /> � u�d' �,� Y� �(� r;� : <br /> , . - .� , • <br /> H'.D.Pa*uJ—IL00�-F..P.Co.-6-2G^.1 . . <br /> City of E.vere.tt�--Water Depai�tment <br /> APPLICATION FOR �T�TER <br /> All bl;mks must Lc tilled in or crossed out <br /> Evecelt,...:///..G![�'-�.�....�..(L....._.................198_� <br /> 7'0 TH� SUPERIN'IF.NIIENCITY OF I\Ll ETT DEPARTDSliTT: � <br /> I hereUy npplY for lhe use uf�cater in accordance �cith the rules nnd mgu- <br /> I¢tior.s of the �i'ntcr Depnrtment, tor pm�po=es and tis+m�es stated Udow. <br /> During Uie time thnt nny o[ 'hc watcr mnins nmy Uc laken up by rcason <br /> of nng imprm�ements authorized b7� Lhc Cilg of F.ccictt, in or of m�y streex or <br /> alley in �vh:ch thcy may hnce Ucen mid, the City «�ill nut bc re�uired lo furnish <br /> a•nter during the progress of such imProvemenl.: to any cmisumer whose xaPl>�Y <br /> -� may thua be cut off, ar Ue linLle fos snY damu8es foc its fnilure so to do. <br /> • u <br /> Applicnlion No.........._�......�_U...._.... <br /> .. Add_ .. ..........._....... ..... <br /> ._ .Lot......_...._............. .......... ....... <br /> Ulock....................................... g� <br /> .1-.2` O� �.c�J.......................Street <br /> No. ..... .....� � <br /> ...._.._...................... <br /> . . ...._............................ <br /> ...............���A..<..9.�..._. .y ./— <br /> _....... .. ...Plumber <br /> The work to be execuled by.._._ ..��.�. ���'�1���,�/��� �7 r <br /> Stnte sizc of tnP. a/ � � �` / <br /> // O ('� � ,�, <br /> . �............Tup to bc inscrted in the main. ���� R��IJ. <br /> . � <br /> ................Natcr closet a.•.. /� � 2b <br /> r yL(f-,' o <br /> ................IInch ' \ <br /> , ' � �� ` � � i � � � <br /> . ...............Annn! � � ' ��- �, � �. � . ; i <br /> � . . . . . � - : �. � <br /> ................Plnin fnucet inside ' �„ri�`� 1 u iJ�'U �..•-�� <br /> ................Side �callc a•nsher � �,�( �� E'.�.;i.Tr 1'�7 ft� ;:_. � <br /> ...............Jiosc UiU oulside : .�............ � f� � � <br /> � <br /> .........y�....................... <br /> .............._EIose 6ib for Uuilding purposes . <br /> ................Flose biU inside <br /> ................Bib far stnUlc containin�....................sWll.................... <br /> ................A'umUer of persons in fnmily <br /> ................Numbcr of rooms in building <br /> mhcPremises arc to be used ns n......_....._............._..... ............................................ <br /> . . . .._.............._.......................................... <br /> re o�vner of thc P�'enuses is......._... .. ..._.. <br /> ;..7t is................._......................................................._.._..................................... <br /> q'his nppiir.dion, nithough signed, chnll not be binding upon e City, t�pt,il <br /> nc�epted by tlie SuPerinten nt of the \Vnter Deparlment. � <br /> � T � <br /> Sign ................ ......................... ..._-.W . .,,........_ 'cnn� <br /> .. ....._... <br /> Accepted...�J — �.�.......19?�./.. • � ............_._ ..... .......... .. ..._ � <br /> ""'""'""" ♦ u i tendent <br /> ' C����-G6'�..... <br />