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, <br /> ,, �, <br /> W. �. Form � I500 3-1-17 G.P. <br /> CiTI' OF CVERETT==Water Department <br /> Application for V6�a er <br /> :111 blanl:s must be ( �n o �sscd „��(� <br /> /�/i�, <br /> . �""' <br /> Lverett. - --------"-1 <br /> 'PO '1'lili SUPIiRIN1'13\UIiNT OP 7'HG W. TIiR UBPARTMGNT. <br /> C11'Y OF G7ERliPT: <br /> 1 herebY�PPIy :��r thr. use o(water in accordance with the ivles and re�ula- <br /> tiun, �d The Nater Dep:vtii�:it, G�r purposes ;md tislures stnted beluw. <br /> UurinK thc time tLat any u( the �vna�r nmins mny be t�ken up by reason of , <br /> a�hieh�tl eY mi)�heve�l>ceoll;i`i,�the CCy��fill'natrbe rcquiredr�o lumish�water,during <br /> ihe proKress of such imProvrmcnts- tu an}• ennsumrr ���h���e supply may thus Ue cut <br /> nt[, ur bc liable (or any iamag�(��s failurr so t��do. <br /> ppplicntinn N/o�.' '_�_' "_""--� <br /> lilurk ._ _ AJti_.____ '_"'_'_____" <br /> �C�J- _ Lut--�--- <br /> � • � �' ' <br /> \��..��0 1 �_G__'�" - Strec[ <br /> - � ' %�_��__-.�__'_.. <br /> ; "`- `� � <br /> �. j� � .G�._. . __ . _________'_"'_.'_'__ .. <br /> __... __I-'_-"_'__ <br /> , ___ _.�,�'lumber <br /> 7�he work to I:e exccuted hy ___-- �-----�---- / <br /> Slale sizc a(laP. '_"�_"_ ' ' . :' • .�"..i1 / <br /> �/ �U�_--_Tap Lo be insrrted in the main. <br /> _"_'_'.11':�te�closrt ' '�� . <br /> _ ____ .Balh ' , . <br /> .Uriral � I� . . . <br /> � <br /> ,.. I /�)i� . .` <br /> __.__.__Plain (aucet inside �, - � � � /1�� , <br /> � <br /> __Side walk «'oshcr ��, � 'i - <br /> __���___1losebibuutside �i��V � �� �� �. <br /> __________4losebib (orbuil:linFPurposea '����''� ,� . <br /> ` -.�— . <br /> _. _-.._Ilosc bib msidc Sts= . i <br /> � c . , <br /> ____ <br /> ..__Iiib(orstablecontaining.--------�tal ._ ' ..:. <br /> ___._.__Numbcrofpennnsin (:unily , . <br /> .._.___.__'Numbcro( �rnimsinbuilding /', - � f � ���� � <br /> �����%L�/�J/'� �f___�,�.22i�1 2iLI/6u/ <br /> 'fhepremisesaretabeusedasa-._ -----�---�/ J <br /> Theownerofthepremisesis _.___.- .- ._______..._.____._-... <br /> . ._______....__. <br /> "Phe agentis..______.__'.__. -_____________ _______ <br /> ._""___'"'- _'..___'__ <br /> 1'his applicatiun, althouRh siF;ncd, shall nut bc binding uP�rn thc CitR ��ntil ac� <br /> �optcd bY The SuperiNendent of dir �'�ter DeP��"tmenL � <br /> � Si�;ncd .�C_/��� . .�- ' __ `�1_'_'ApPlicanl <br /> , / <br /> p y_ <br /> �__IS3�--1.�' Iip� _-,. .- . ___._._. __.. <br /> JL7 ' ._...-- ...�, ��,:�.���:��,� <br /> y,. , .y�� �� <br />