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G-. .� ..._ . . .. � i� . <br />14-0. Pnn:� :- .i.yp-f1P.Co.-.:.:G._A � . . <br />C:ity of �;verett--��l�ter Depai�tment <br />APPLI�.�TION FOR W1�TER <br />All blunks nmst bc fiiled in or crosced ut <br />_ �� 1 <br />Evcrett� .............._.......... ..............._..l.r'"! b . <br />. . ........... . . . . <br />TO TIiR SUFIiI2IN1'ENDI;NT OI' TIIE ��'qT6R U13PAP.TnIliNT: <br />CITY OI' LVEI2ETT: <br />I here6y �pply for the u�_e of �euter in necordcuce �i•ith thc rulcs und r��g�u- <br />Intious of thr. ��'ater Department, for purpuses and fi�turee stated bclo�,c, <br />During thr, timc that any u[ the w^tcr meins mny be Lal:mi up bp reasm� <br />ot nm,� imp:�ove�iient= authori;.ed by Lhe Cit}• of I;cerett, in �r uf nny strecL or <br />alicp �in �ehicli thec i7aS !�1�'e Lcen laid, (h� Citp will not bc re�uired to furnish <br />�r.iter durin�; the proqress ot auch improcaments to any consumer whuse supply <br />w:ip tl:us be cut .;.f, cr Lc liable fm� ::ny damages fot its fnilure so to do. <br />.� , ;� <br />:lpplication A'o..........._.�. �....1..:.�...." �(� � <br />Bicck ...................��.....�-- I.ot........._..........._ _ �' � � <br />d � <br />._...._._. Add��`�.� _�.L /�_? ��c�. <br />'Jo �'..� G � � <br />____� / . _�� tCCCE � <br />. ....._ ._ . . <br />......._ I `�� <br />....__ .. ..... ...._.__.. _.._.._ ............._...... <br />.. . ... . _ _ _.. ........ _.... <br />1'he x•m�k to be axecuted bye.._.__..__. <br />.. ...... _ _..__ . __. ._ . . ... PlumUcr <br />St�te size nf tnp. <br />// •i <br />..,�1._.........Tnp to Ue inserted in tUe main. <br />� _........`Pater closet � , � � =—� <br />._ ..........Ua[n � � <br />_ __- <br />....._..:......Urmnl � . � <br />--.�.�.....Plnin faucct insidc ' � <br />..:.:...........Eidc �vnik tvaslier <br />�-:..:..:.-._IIosc biU outside <br />:.--:......Iiose LiL fur Uuil�img purposes <br />�- ..........._Aose Lib insidc <br />..-�..:Bib Sor slable coutnining ....................stall._.. <br />__ ... . _...... <br />-�����_�..�,.NumLcr of persons in fnniily <br />-�-...`�........NumUcr of rooms in building , <br />Thc remises are to be used as E-•�- Q_L �;*_ ��� <br />n . l�.-.... <br />,ri„ . ._..._. . ._....F._ .___. <br />-. � onner of the prnmises is�:.TL/V'l-(,� � f-Z�/�� � <br />,� . � `d"i-�_.C_l � �..... <br />..a agent :.. U <br />. ............................. <br />.. _.. _.. _. _ ... _.... _.. <br />....................... ....... . . <br />'Phis npplication, althoufih signrd, shnll not be Linding upon thc CiLy, until <br />-�^Pted by the Supc� tc ent of the �V t r e2mntment. <br />\ _/�� <br />Sigled ............................... - n� <br />.........y....... �'l�'��L� pPpli nt <br />. .... j � .. . _. . <br />. <br />`�tepted.___- � .%'a ..79' .. B . . �� <br />. ._ � ..._:.! ._. <br />� � .... ........................ <br />�-�� r'JSuperintendent � <br />