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d <br /> G.,v�-rj ���7-2y.-�7 <br /> _ �� T� � .�4 �Z4���. <br /> \\".D.F'orm J..I�JII--F..P.�'o.—L.2GR! • . <br /> Citv of T�verett�LUater Depai�tment <br /> APPLICATION FOR W TER <br /> A.II bl:ml:s must Le Cilled in or crossed out� <br /> EvereLt,..........�� ��— ,a/ <br /> .... .......__......._..__............_...197�r <br /> 1'O TIiE SUPliRItQ7'ii:�*DF,N'C r)I�' THF R'A R llL•'PAP.TJfliN'i: <br /> CITY OP E\'LL :TT: <br /> 1 hcrebg app!5• fot thc us� ot �satcr i�i acccrd�:nec with 1hc rule� :md rr— <br /> lutimis of thc �V'ater Departmeut, �or pmpu=es nnd fi•:�ures sL•itcd bcl� <br /> During thc lime that m�y of t.he u�.�tcr mai�s may Ue taken up ', .�,,,,n <br /> oC nny improvcments authorized Ly Lhe Cily of ficcrctt, in or of nnc n�:ceti or <br /> alley in �chi:h Ihey m�p hnce U;en laid, iLe City vill nut Ue requlteJ to furnish <br /> c;ater during tl�e progrnss of st,ch im'>raremenL. to miy consumer �vhose supP�Y <br /> mny thus Le cut n;C, or }X�liaU:r f i:ny dmm�gcs fcr iis failure so to do. <br /> APplicnlion A�n.........�!...d..�.�,',.�......... <br /> Lilocl .......Ir�'��r......_ Lp) . .,3.V ., . .. ......... Add.. ...... <br /> .. __._........_.... .. .. <br /> No..�.J �.� __.. �Gf=�,:,:�� . .._...Strect <br /> _.... ._.__ ....._ . .....__.._ .._ . .�/�ll . . <br /> .. . ..._ . . . ._. <br /> Ili� vm�k to be executed by .. .. .. . ... . . Ptumber <br /> St�r ,size o[ tnp. ')�. � ' CG ') / i <br /> .1..��...:i�� to bc inscrted in thc m�in, v�( of�— �_ � <br /> � <br /> ....._. .....Nntcr dnset �� �7L. <br /> .........�....Path � -�----- i <br /> Urinal <br /> �__.��.Plaiu fnucet insido <br /> _._.__........ide tt�nik �vnshar <br /> __.....�.._Ilose bib oulside <br /> ..__..........Hose Uib for builJing �rw�posce .� <br /> ..._._..._...IInse Uib iuside % .� <br /> ___._........Bib for slnLlc contnining._..._... _.......stall....... . ..�. <br /> _. .t..Nmnbcr ut persons in fnmily <br /> l <br /> ._.__.._.._.NumUer of rooms in Uuilding <br /> Tlic prcriises nre to be used as n._.h� :�,�.q,..L,[.-c. C\ <br /> _...... .. ..... <br /> Tlm o�cner of thc premises is r.�..<� - '± . <br /> ' �. � .�'l.i 4�<5...,. <br /> � The ngent is....._.._.............._._......_.._....__...............'.'. <br /> _....................._...._................_. <br /> This applicnlion, nllhou�h si�;ned, aha11 not bc l�inding upon thc City, until <br /> aicepled I�y lhe Superinter. cnt. oC Lhe lPater lle�y rtmen / � <br /> `� <br /> Signed . ....._��s7LG!L.�.-�'��1� _ f � _. - <br /> ..,, . . . �..� . �PPlmant <br /> o�:: `'e'' `'y �'� —'��...— Dv....L/-.�7�J-y`f(�.:-:..L��,.�, ` <br /> �� � ' Y �(tDcrinlendent�. /�'1 ' <br /> _ _ 1 _ � <br />