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c .-p -. �-: - . � L'..-.. __...-__.../-. <br />__ y <br />V%. p. Farm 4 I500 �.�-I i�. i'. ' ' � <br />CfTY OF CVERC3' l'==Water Department <br />A�ap�licati�xa for �dVater <br />All blanks mus'[ hc filled in a crass out / <br />Iiverett.-___��d-`� - _�--------Ig"�'����- . <br />7'O '1'HE SUpERlh7'ti\D13N7' OP'fIIG NA'I'IiR nGPARTn1ENT, <br />CIT1' OP G7ERE7'T: <br />� herebp apply (or the use uf �vater in accordance �cith�the rules and regula- <br />i I n; -�.f "1'he Nater llep�r[nunt, fur purposes and �stures stated below. <br />Uurin�; the [ime that any oi thc wa[er mains may be taken up 6y reason of <br />:eiy improremenL•�. �„utlmrized bp the Citc o( Bverett, in or u( anY strcet or alle5' in <br />whidi they may Imve been I��id, the City �rill not bc required to (urnish wa[er during <br />�he prupres-s ot sucli imprwements to any cansunter whnse supply mn>' iLus 6e cut <br />,dL �n� he liaule for any daioq¢es fnr i[s Gilure so to do. <br />:1Pplicntion No."'!_. �� /_"_"__" : � . , . � . . � � �� <br />i �j/ ' <br />!�.'� <br />131nck _'_"_'_'_L _LoL_'_"_'__-_'_'_"__Add"" . � <br />p-__'_�___ _ _— <br />\'��._fJ._�Z _��___'.Strce[ <br />-...._.______ . _______.________ _________ <br />__ <br />'fhe�anrktoheesecule<�Ib/7'-------.-'__'..._ -�._ ______ Plumber <br />SGtte sizr uf tap. y� �/ "'�� �- � <br />/ <br />`-�--�_"Pap to be inscrlcJ in [hc main. _/i /� � G <br />' ""��'_"Waterdoset ��� � <br />"_ /' _ _ _ Bath <br />. ... _._ Uriml— <br />- �_.Ylain laucet ir.sid�� . <br />.. _ _ _ _ _ _Side-walk'washcr . <br />. _ �_ . _ Hose bib outsidc <br />.___"____N 1'I1.�rhr�Pnit Purpuses . � <br />. - -' _ _' _Hn_el�ib-i�tside ' <br />_""_ ii�l ( rtbh� i�in ._�t�ll ____'_ .'. <br />g.______ <br />--__.____Numbcra( persnns in (amil}� � <br />._� ___Nwnber u( raoms in building , <br />The prcntises nrc lo be used as a_-_.. __ ___ ���� <br />/� �'__" �_"�"__'_' _ _' '__" <br />'Che owner o( Ihe prcmises is .____��"'_"� <br />�_ _ <br />Theagent is . __________. ______________ <br />__..__._____"'__.___.___.___- <br />This applicaGon, .�IylrCug igned, shall noI hc binding upnn [he City, un[il ac- <br />cc ricd b Tl�e Su � <br />I Y p�'n �endent u the Nnter De a:�tmcnt. <br />_ . "_���-_..___ __._'____-yPPlicant <br />_._ <br />', � .: '�J ��•��-f!77� I3y���._�_ ��! �Ji� .,/. <br />J-e` �.`jc.=rin��nd�.'''_' <br />. / <br />/' � _� <br />_.. i ��Y..;: . ... :�. . ,�. <br />.�.�, ._ ...:. ,.. . �. . ., :,.,... ...,. - -. . . . ., � .. . <br />��i�i.�,y ♦�,.�s.. ' i�c.L'l,�.r�t, <br />- r, � . . . �",7L'@- , .. <br />