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,_..v_,1� 3-4 20 - �. <br />w. o. r�im 4 isao a-i-n c. r. <br />CITY OF EVERE'fT==Water Department <br />Applicatic�n for dV'a�� <br />All blankc must byl�lled in nr cros' out � <br />� �p �, / 6� %�/� <br />� Gvurell. ___'�_�. �-l� ��—_'_"-_19N_-`.'_. <br />TO 'PHL' SUPIiRINl'GNDBN7' OF TH6 W.\'CfR DEP.112TMIiN7', <br />CCl'Y OI� Ii7G[iETT: <br />1 here6y applc (nr the use u(�vater in accordauce with the rules and regula� <br />ti-�n; o[ "Ch�, 1Va[ec Deparhinnl. [or purposcs aud fixlw'es sla[ed 6eluw. <br />During the time Ihat un5' �i Uic water maine m:ry be taken up 6y reasnn ot <br />:w�; improvemeols authoria.ed by [hr Citp uf Everet4 in or n( any s�reet ar alle)' in <br />mhich [hey may have hcen laid, the Gity wili not be rcquired tn furnish water during <br />the pro�;ress o( suth imnrovvmenls lo anY ��nsumer whnse supply may tlms be cut <br />n(f. or be liable !or anc dantxqcs fnr ' s(ailure so tn do. <br />i �j <br />APPlicntion No.' �f_-!_� /�� "" _ _ _ <br />Ldlnck '___'�'_�_'_�� /ifit_ �U.-�-��' _'. Add__'_' <br />___ <br />\u..=�. - �.A��-f/LL�G��_ ... __..Strcet <br />� �6 <br />---- __ ----- - ---- - -------- - ---- <br />"fhe�cadclnbeexetuledb)'-. _'_"-_-_'_ -- '.'. _--___'__'_ Plumber <br />Stat`' �ize u( tap. <br />i <br />__' _.I% _1'ap to be inserted in the main. <br />-----�.---wa�c� do.ec <br />_ _' _�"_ 13ath <br />.._.._._ .Urinal <br />__.____.Plain faucet iuside <br />... '_'_"Side walk �vasher <br />___"_'.-Hose bibuuisidc <br />_"_'____Hose. bib (or building purvuses <br />� c O <br />/� � -. _ <br />% '/lV'-i� �� � , <br />i <br />; ?' 4 , fj; � F. <br />, �r, � ��� � <br />..-_"___Iloscbibinsidc 1 �, 'tq;, <br />liib for slable containing "'_"'_stall� _' 'f� � � <br />. _'_'_/"__Number u( persons iu family ��L. � "- <br />. _. _.(�]__Nuniber a( ranms in buildinR"_"_""""""�� <br />'fhe remises arr tu be nsiJ is t_ <br />'fhe awne: o( the premises is _-___ t: <br />Tncaecntis.___._.______._________________.____________'_.____.._. _ <br />'Chis npplication, alth<iugh signrd, shall not be bindinq upon thc CitY. ❑��til :io <br />cepted by The Superintendent of the AVnler Dep rb���7� <br />SiHned_'_'_'-'.��_�__...____.__..... - ApPlicant <br />.' <br />/ M1r <br />A�rePle��_ — - 195�� 13r/!�' _�y r". '_"'.'_ ' ____'__ _""" / <br />-� �� �. � sin�iimer.ceni <br />r i , � � ;1 (.,,. <br />� },% ., <br />