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�c'...it�. o - -i- , . ..,-...�„ ,"{� 'v , <br />1 2.J C� � � <br />_ ��1��'�'L �»o'✓ <br />w. o. Fc��» � i soo a-i-i i c. e. . . <br />CITV OF EVERE'TT=�=11'ater Deplrtment <br />Application for Water <br />All Llanks must bc fillyd in or crossed aut <br />/ '/ <br />livcrrll.. _---1.",.�.2/2_7_..__._.'_._191__.. <br />/ <br />"f0 7'I1L SUPERINTE;1DIi:1'1' OP TIIE NATER llBP:1R'P\tEN1', <br />Cl7'l' OF Id7IiRE7'T: <br />1 hereL� apPly (or ihe use o( waler in accnrdance w�ith lhe rules and reFul:�- <br />tinn; of 7'he 1Vater Uzpartm �nt. fur purP�scs and fistures sta[ed bcloe•. <br />DurinF the time thnt :un• n( the �ratcr mains may bc taken up b)' renson o( <br />:my imurnvoments :mthorized hy the City uf Bvcrelt, in or of any strcet nr allep in <br />which they utnl' have been IaiJ. [he Cih• will un[ be required to lumish �vatcr during <br />die prngress nf such impravemrnu 11� :my consumer �chose supply may thus be cut <br />of(. nr 6c liablc (or any Janr.igcs for ils (ailure sn lu do. <br />Applirntinn No._�V- . • <br />��__.___._ <br />Black �1� _�.Lnt_��____...._._.AJd..___.__.___-__-__ <br />.__________ __ r/-� <br />No..p'1����/y_4_'f'_"_�+t'_'^^�_�:-%- '{_�"______..1S/tr��c.rt j ` � <br />.__".��%'/o�/'�-c��� . .��y/�LLv_'_"_______li-L1.0_!-`.\:'�I_"1"i�r`tl.i,��:,.-I\ <br />The �cork l0 6e esecuted 65' �------""'- '----------'-'--'----- Plumber <br />Si,�esize��ti,��. �`" n consic;eretion hereof tl�ie applic..:t� <br />r.or.�ents to di^c8ntioction c,ithout no.ico <br />-?_ 1'a [o bc ii�' c dj Ih <br />- y---' n �S,�Y „q..6'��ar L'ecer,:U�r lst, 19':3, if <br />___x_.___Na[crdusce„111C +0 '.,AU pipe 11;7C 19 ri0�i,� O�Ct,'l1ri0:1 <br />__�'___.13,u, hy ;.�eens of a L.I.D. from 1,:uLiltoo Uater <br />___x___ �i�;,,,� �i^trict, and in ^,ucl� ovant t}tia nrplicmi;, <br />y i4�rti�='cr nFrc�os to pea {ho cost o: sucl� <br />---'I.-----Plain (aumt . - . <br />._!�'_'_ldewalkq':�,,��.0011170C�i011 ''i3O 't}:B pRT"i:'i t.',::i J.1:f' �„li6 G'f:C' <br />_ S� �siicr - � � <br />_._%._' ..Ilasc bib ouLidc <br />.___�__.l�losc6i6furbuildingpurposes ` �:. , . <br />Ilnsc bib insidc �' � � .'"'� <br />____.__ : '_ <br />.-' __I3ib(orst�blecantaining-_----_-�.stall.._._-_ <br />__.._.r__'.Num6craf persuns in familY / </(�1__ <br />� .._�"____Numbcrufronnuinbuilding 0 <br />1'hc premises arc to bc uscd ��s a.._.. ����yyy.�lL---LL�!<7..t.(.A�.-_ _._"' <br />The na�ncr�dlhepremisrsis .,�.._. /.f,e/L2_.[____'__._..___.__.... <br />�iLcaSent is ._'_'.'_.'.__. __'______�__ <br />•.❑p�licaiiun, although signcd. shall nut hc binding upun [hc City. until ac� <br />uy 7'he Superinlenden[ u( Ih � r Depa �t. <br />Signed�_______'_._.'_'___�'��^..�.Y// __ .� Applicant <br />:lccepted 7..��iaiiS'-1Pl R5'- -- Lf�i,�/� <br />_sri;��.ndrn� _ <br />( 'r- <br />