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--�-t�+..��. li'`�'1 �� `�� �i.. ^ t.--v�.C�.t.�.�'t �� � 'i � . E,� ' <br /> 1Y.D.Fu:m�-1'u00—E.P.Co.—G�26-21 <br /> Cicy of EvC��ett--�Water Department <br /> APPLICATION FOR WATER <br /> , AII btnuks must be fiAed in or crossed out <br /> �verett............. �_4�'.t�......._1.�...................192� <br /> PO T31� SUP�RINT�NDPN'P OF � l':1TF.J2 DEPARThiG\T: <br /> CITY OF EVGRBTT: <br /> 1 hereLy nPP1S' for the use oi�eater in :�ccord::nce «�itl� the rules nnd regu- <br /> latious of thc Nater DepnrtmenL, tor pnrpoecs and fix:wros st:ded Uelow. <br /> Durinq lhe time thnt nny of thc �vntcr mnins may be taken np Uy renson <br /> oC nny improvements nutUorized by the Ci�p o[ E�•crett, in or of nny sLrcet or <br /> alley in which thcy may hn�•e been ]nid, the City will noC bc re�uired to furnish <br /> �ealer during the progress of such improvements to nny consumer n�hose supplv <br /> may thus he ruL oft, o�z(�e lioble fur ;�ny dn:nnges far its fnilure so lo do. <br /> _�pplication No....(J�� ./Z:..............�.../ �I� '�-. <br /> Black.........._�:..`.�......... Lot...............'.,?.:...._.. ........ Add... .. ._. ...___..._ .__ _... <br /> '--e. <br /> No.... .. ..�.O /.l _ _.......... ...._.....Street <br /> � _........ <br /> __....._........ ��.f�.l.l�.�.:. '�:.:.....__._... _.._...................__.._... ....... ... _....._ ..... <br /> Thc work to be esewted Uy....... ........ ... .........._..........-....._...........__._..PlmnLer , <br /> Stnte size of tnp. � � <br /> ..���...Tnp to bc inscrted in the mnin. <br /> ......�.......R'ntcr clo=et <br /> ......... ...Bnth .... �� Oi' <br /> �-ilrinul ' . �"'� � t� � <br /> ......�....Plain fuuect insidc � <br /> P <br /> ._....._':..Side n•nik n•nshcr <br /> ._....✓.......Ilosc biU uulsiJe . <br /> .........--...._Hoec bib for Lui!dinq purposea <br /> .......-:,_..Flose Uib insidc <br /> ......_—...BiL for stnLlc contnining...................stall............_...... <br /> ....._:........Numbcr of persons in fnmily <br /> .z..:.,.3...NumUer of rooms in building ) <br /> .'ho n•emises nrc to be used as a.......... p`.,..__..���..........._....../.. . <br /> mvner of the premises idlLl,d_ " . �:Q.!-1..���4SAe�t2. S1,,Rr�.�.0 <br /> . i <br /> CI•: ngent �s................._......................._�........................................�............ <br /> �'^� np�lic�dion, although signed, shnll not� be binding upon the Ciry, until ' <br /> � ny thc Superintendent of the �Vntcr llepnrctpment. ' <br /> $ign�d..��wU--:�....._' .... r/LiiJ2 w!-'... .. ..... �'!'.yitApplicnnt� <br /> ��... <br /> ..... .... .. <br /> Acce�ted.....�..-.....��........_1'J2..... By...�. . .... <br /> � . ................................ <br /> l Superintendent <br /> /, <br />