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(- �,--, .. <br />I�, - • .� <br />w. n. r:���� � i soo a-�,. n a F. <br />CITI' OF EVERE�'T�•=��'ater Department <br />�:— <br />A�plicatiom for Water <br />:111 blanlcs must be 611ed in or cros�ed i���t <br />-- �/ .{ <br />9a'-4 __ <br />7-� b_____'__'.1 � <br />FverclL. - --�---------� <br />'1'O 'PHIi SUPfiRIN"1'CNDIiN'I' �I.I'1''( f li`/I RETT.I'A��'�fEN9'. <br />I hereby app1Y for the use nf ���al�•r in accurdance ��'ith the niles and regul:r <br />linns ��f The \Vater DeU�rinrnt. 6ir purP�>•es and lixtures �tated bclow. <br />Uuring dx tin:e that :my ��f the ��•:�[er mains mar be taken uP by rc. son o( <br />:mc imPrnvements aulhorizeJ bc lite Ciry• ��f I?crrett, in ur �( �n)' sVeM nr alle)' in <br />�hc � lK'YCgtinO'f S'Ul'I111tlPfOren en!�s to airv eo�vvnmer, �vh�n�c' �upplv mac tlms 1 c cnt <br />nfL ��r bc liablc for nny dam;��^/� (��r ils i:�ilure so in <to. <br />ApPlicntion No.____ �_e7. 7 _-_-_ _. _ . . <br />' "'_"_Add___"._'_'______' _ <br />Idluck...Lr=�1�__ -_-.l.ot.��-�._..�.�'_._ <br />z.o� ��..�L�_...Slrcet <br />Vo._ _ _ _..___' <br />"'_'_'__. _._ <br />__'_____- <br />_______.__.'____'___. <br />__'__ <br />'Phewurktobeexeculedb�'.. ..____'_"' .-....-_. ..-.. <br />___ Plmn n• <br />5l:rtc size af L'�p. <br />�y__'_.. Pap [o bc insrrled in thc main. <br />"' _ �"' _' 1Pater closcl <br />.__.�_.__ liath <br />__.._._ .Urival <br />.. ______Plain (m�cet insidc .. � <br />. ....___.Side e�alk �cas6er <br />,._Hose bib oulsiJc <br />""_"'__Huse bib torbuilding p���P�•�s ��� • <br />'_'__'_'_'Hnsc bib inside <br />__"_"'_'.Ilib fur sL'�blc cuntaining. -'---'- <br />__slall _ . -.- <br />' __' _ _. ___Numbrr n( per.uns in famil�. <br />/ � <br />S' . Numbcr o( mumy. in buildinq <br />a.-rC_��.<<--�-2s _ . - <br />'I�he Premises are �n be i�seJ as n.-. �-_.---.. , <br />--�. . .P, _ � �,.�;� c�.,�.^�� r�.. <br />'I'he naner of Ihe Premi.es is .. _� <br />The :�Fent is . _."'- <br />9'his apPlicalinn. nitho��µ <br />cepled b>''rhe Superimen�� <br />Signed _ . - - � - <br />/- _ ij� .. <br />Areptcd �� �-"�•. �__ <br />�I �I . � i � � � � c bin '��g � �rn Ihc CiIY� ��ntil ac <br />�f <br />� �\' )r � i� <br />� _ _. � ��"'_'AppliCanl <br />._ .._ -. 1 . , <br />pL' 8}. ._':'I/-,-�:r�!'�-_��__._ <br />Sup.ri}rfenAem <br />