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�\ �`,• _ <br /> `I��;�,`l <br /> D Fcrm,a I500 3-I-1]G.P. <br /> �' CiTY OF EVERET'f==V1-'ater Dep��rtment <br /> Applicatior, fay� i�V��.�ex� <br /> :\II blanks must be filled in nr crossed nut <br /> __-- / <br /> � I:verelL -'-"'-__--'______�/l���-''____"ISl _�. .- <br /> 'PU 'I'I1E SUPERIN'I'END�iN'1'O�"CHI: N.\9'ER DEPAItThitiNT, <br /> CCl')' OF E7@RETT: - <br /> I here6y aPPIY for tlie use u(water in :¢cordanre with Ihe rules:md repula� <br /> ti�.in�nC'fhc \Va[er DaPar[m�n[. (or Vurposrs and fixWms stated bclow. <br /> Unrinq the [ime that any of the water m:iins m:�y br take�� up hy reasun ��i <br /> :my impravements au[hurized be the City of Evere[[.in or o( anY s�rcet ar allec in <br /> .vhich they ma5' havc hcen laid. the City a�ill no[be required t�� (urnish water durinA <br /> ihe pra�ress of such improvuments tn :my cansumr,r �vhose supply may thus bi• rut <br /> �Jf.or be liablc tnr any damagc. (or its failure so tu du. <br /> APplirntion No..__'_���-/-."— 'n. ,f Jr <br /> � "__ .nt.'��______ Add�`^'.._..1.1---_-. <br /> Bluck _�.--�-'c7 <br /> \n.___s20_f_l�_.�''___ . . _ Stree[ <br /> � <br /> _ .___________ _ ________'_'.1__I.__ <br /> _.__'__"__.___'_____________._ ___ <br /> �"'I'he wnrk [o hc execute<I by._..U/_���--4-U-�---------' Plumber <br /> SUi�•size u(U�p. . <br /> i <br /> 0 <br /> _.,1__'_PaP to be inserted iu Ihe mam. � �% <br /> d <br /> ___�_._._Wacercinsct I/ .. _. <br /> l �����4��, <br /> .__�__.I3ath �,�/y,",.,,_� ...� .` .. �.: <br /> .__ _ _ .Urinal �� ,./� � �� ' .� ., ��" . <br /> _.Plain ;aucet inside 1 /'`�. �\ , . <br /> .__.___ 1_, u � i,.i�� r �\\\�� ��, <br /> 1 <br /> '_Side walk washer � 7J �� n`• - , . <br /> _ . _ _l3osc bi6outsidc �� � � �� �� � ,,. <br /> . _ __Huse bi6 (or building purpnse.: � �. �' .. <br /> P f.�-.f <br /> ._'_'__Hnse6ibinside �'._ • /%1` : <br /> ��� .. �G^. . . <br /> _'__Ribforstablecuntaining-_______..__sLiIL__._�i� �1%'�=_"'�'" . <br /> .___ �;\' , - . <br /> _ ._ <br /> -.>.__ .___.... <br /> _._ __Numbcr o(persnns in (amilq . � <br /> ___�__Numbcru( euamsinbuildinq . <br /> -� , <br /> '.. t._� r „ .( � i � -' <br /> "ChepremisesaretobeuseJ .sa ...__'._ -... -._...__..__.."---__ ..-... <br /> Thcu�cncro(lheDrrmisrsis .___________-._.-- ._.-____ -__-.. ___.-_-_. <br /> 'fhea8entis . ___ . --______-____ ._ _____________ _____. -___. <br /> l�his ;ippliCatinn.al[huugh signeJ, shall nut be binding upon Ihc City. unti! ac� <br /> cr�,ted � c -__;.,�en-Irnt n(the Nnler UeParlmcnL . <br /> � � .. � � �� � � Applicant <br /> /_._'_-___.'_.__ <br /> �' <br /> �r <br /> Ry_ '_ ___' ."_""_"'"'__'.__' <br /> Saperimm�Ger.t . <br />� <br />