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,:_�, : . �_�:_,��� _.._.. <br />City of. :t,verett^-Water D�p�:�i�in-�e�lt <br />���L��J E�'�_ T �1�T�tOI�T F�JR ��;�% 1���'�:�; <br />.11l bl;�nl:s muat be filled in or crossed ou; <br />�f �3�� - � <br />Ec�r�:c. .............._.................._...._ .___...._...._. ..._ �:�:,..r. <br />T1��'C�[lC EJiL:RIS7'Et:llS1QT OR TIiE IVATtiR DPPAI:il�Il:A'C: <br />CITY OI' EVliI:ET'P: <br />; I��ereby nnp:y Por the usi; of �.aler in xccm�d:�.sce with the rcles m�d r.g::- <br />Ictim,s ;:;' tl�c �Cuter Depnrtment, for pm�poees nr.d Cixtures s:a(ed bcl,w. <br />]iu;�ing ti�e time that any oF the �r�ter mains may be [aken up Ly r.•a:��n <br />n` ..;:c iivprorements auth;r�iud Ly thc Ci�y� n!' 'i��cr,ll. ir or of :.up el.,����t "r <br />.. v iu ��d�icL lhey roay hace 6een ]a'd, LLo Cilp �ril! n�d b: „�ouired io furr.i::l; <br />;v <br />_.�ier liuring qie prog:ess oL suul� iwpr�,c.ni �_.: tn :wv ci ���.r,_u�r �,ci n.'.� ti. p��ic <br />u,-�y Lhus Le cut ofS, or be I:able qfm� :aiy Ju.n:i;;:". i�n� it�.: i:�L'�.�re w t„ du. <br />Applicntion No.._._.dr.—.J'....1. / <br />... ........ .... <br />1 ]otl ......... . ..... .. Lot__. .. . Add.. . _ . <br />� �,� <br />\a ..__._.�7 Q �.._. ._.R.u...l.!—�.—.Q. i.Y,':'�C..c/L-_Strcet . . .. <br />... . .. _........._..._._...__.._._.._...._ ..........................._...................._..__.._............_ . . <br />71�.�. �,vor1: to be executed by___ ._. _ ._ .._ . . .. ........._ _ .__._...Plum.Lur <br />�intc aizc of tnp. <br />, �i <br />�1-. --..-.' '� to Ue inscrted in the rnnin. 0'""� � ��'� <br />_..____.....�['aicr closet n . �'��� �,� �� � e/✓� <br />�(r^ _ V <br />..............Bcth �Y . �� <br />. ,Y, �9 <br />. .. .. __...Urma] � <br />i <br />__.. __.Plain fnuc::E insidc .. <br />r , <br />. ...__.._Side wnik tcusher '"_ r`� . <br />.... ......_Floec bib outside � � . <br />.._ _....Hose bib tor building pur�� �.���_ <br />._._.._Flose bib inside <br />_ .._........BiL for sta6le containing.._.__.._..__:.!:ili.._. _. . . <br />.. ... _.....NumU;r of ncrsons in family, <br />.. ._ ........Numbcr oC moms in bu Iding `/'� � <br />i!ir p:�emises m•c to Ua used ns a._..._.1 .�� -�. �. .� ..�.-- ...._.. .. <br />� hc o�cner of tl�e Prcr.iisee is ..`.�--� �� ��- -,' . <br />_..... �_:_�_ . ...._ .. <br />7'he agent ia....... . . . _ . <br />.. . ...... _. ... ....... .. . . _.._. . .(� ..... ......._.. <br />7'hi_ ��pp)ication, allhcnqF signed, a}�all nnt be binding uPon the City, until <br />����� ni��:I by thc Superintendent ni lh^ �.i'atcr Depnrtmcnt. <br />5igned.................... .........._ __...................._......_....... ...._ _.._.... ... _. Aliplican t <br />:1��.ctcd_ _ ._. ._. .. . . i9L' R>•. .. . <br />.. .. ._. _._ _ .._.__. <br />�:n"ri�i���n I_ad <br />