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{ iv �!'. 3' ., . � .�.. <br />� ^ v <br />N�D.Fcnn4 ISCDJ-I-1]GR 4 <br />CITY OF EVERE7 7'==Water Department <br />Application fc�r i�Vater <br />All blanks mi�st 6c filled in or c�ssed �ro v� � <br />� % <br />Ii.•cretl�. - �. <br />_ _. �:u__/-'__j ----_.._.___19] __ .__ <br />7'O THE SUPIiRIN'1'li'dUIiNT OI� "fllE NATBR UIiPAN'1'1113N'P� <br />CI'I'S OP G`JGRIiTT: <br />I hcreby apP�Y ior Ihe u.a u( ��'�ter in accorJance ��'i[h lhe nde> and rrgula� <br />i i�ms o( 1'he 1Vater D:n.�rtm �nt, (�rc P��rpnses and �icuu'es stated 6elu�v. <br />During Ihe time Iha[ :�i�}' ��f the �eater mains m:q• be t:�ken up bY reason nf <br />:my imnravemenls aulhorized br lhi• City ��( li�'erelt. in �+r nf an7' s�reet or allel' in <br />which thry ���:�Y h:�vc hecn laid, the Ci[y ���ill nnt be r�•nuired tu furnish �eater durinR <br />nf(. nr�Lc 1ia61c fnrfanS��lomee� n( �r,its�faiiur �su�lo dol1Osc supply m�)' lhus bc cut <br />Applicntiu-nS —Nn."_7_'... �. ""____'__' <br />c/__/9'%{.� _ _'Lot_.�_-. •��—O 1dd____ .-__"_".'_. _ <br />Blotk - __---____...` <br />Vo.=--'�--c�_:�-O _. �?�.e �."__'__. . _..S[recl <br />._'____'_ . __'_'__'- <br />.__"'_' "'_'"""__'_'_"_' <br />_ <br />"'_..." <br />� _.'_'_'_-_-..-_ ___ Plum cr <br />"I'he �cnrk to he esecuted by _... -__.__'__' ' <br />Statr sitc o( �aP. <br />__/�� _Tap m be insedad in the main. <br />_ _ _ __[_ _ _\Vatcr clnset <br />.__"�__.. ��:Il�l � <br />_'._____ _Uf10.1� //! <br />/� <br />.. _ '_"__Piain (auccl inside �I <br />_.Sidc ��'�Ik o•asher 1 <br />..__'_'._Husc hib nutsidc 1�., <br />___.__._. Ilnse bib (ar UuildinH Purpnsesa <br />_ _' _ _ _'""11nsc bib insidc <br />._'_'_.'__13ib fnrsta6le cantaininF.__. -._--�-"'���� _..-:�.-o., <br />..___-\umbcro(Pcrsunsinfamil>' `^..•.. <br />'_'��- ._Numbcr of �ooms in Luildi�g <br />Thc Premiscs nre to bc usci av a... ..__-.__'.-..... <br />._._._..__.. .__. <br />. . .____._... <br />"fhe ����'�tcr ��f the premisas is '__"- <br />'ChcaKentis "_"_'_.' _._.__'__"_'___ ': ."_____'_'_...__""'_' <br />'1'his aPPlic�tion. allhouph siy;m��i, shall nirt bc bi•iding up��n thc Ci�)', until ao <br />cepted by The Superiniendent o( �he \Vnter DrparuncnL <br />SiKncd- m r .. ��.-""�"'-- '___ /I.__•4pplicant <br />-' _'"", ' _ ".... <br />a ( �/� � <br />t .�_.._I_.'.}` '.. 1� ."__'. _._...._'_"__'_ <br />AccePled �q - • I )1 . �' � ..v� ei!ninir-i <br />!/ <br />