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� z.�1 � 1 O- i� 7-[. - F}( � <br />� ,�_�..ti� ,,,-�r- ��� c-- �`.>>,.-� <br />1Y. U. P'onn 4- I500—ti.P.Co.-G-:G :7 <br />Ciry of E���•ett� Water Depai•tment <br />APPLICAT�UN FOR WATER <br />'. � All Llnnks u�,ust Uc fi!led in or crussFd out <br />— ��/�,1 �j <br />1'svnrett,..... _..... _........._ ..... ....................._...... ......_....1.�Y. `.�. . <br />7'O 19iE SUI'I:I:INTEA*UF.D'C OF Tllis \VAT6R DI:I'e1PTnfE\T: <br />CITY OI' r��liI2liTT: <br />I h�-ri�b�• npply fi>r the use ui ���ater in accard:mce «�itL tlie tvles and regu- <br />Intim��3 ot lhc {��nter Depnrtntent, for putpnses and fisttves st:itr•! belon�. <br />Lvriug thc timc that nny of thc water mnins mny bc tnkcr. up by rensrn <br />of nnY � u�xo�ements nuthorized by the Ci:y of I;cerett, in or of nny sLreet or <br />alley ,n �chich �hey m�y hnve 6cen laid, the Cit-� will nut bc requircd to furnisU <br />�L:dc: during tLe pragress uf such improvemenis fo nny consumer �ehose supply <br />m:�Y thas Lo c« t off, or be linbic for :u:y danwges for ils failure su lo do. <br />Applicntion No.... ...SS � J <br />..-5..... ... U....... 6 �0 7 <br />P,Incic ..................�.'..I.. ...... Lot..........._...1. v _...._.. Add.. ....... <br />__..._. _ <br />* �—�r— <br />_ _ <br />\o... . <br />...._..� fi ._�-�.l.�t-<�'....�-�..........Strcet <br />........ _. . _ .... ...... ... . <br />. . . . . .. .. . . ....._ . . .... .. <br />�( /J��..�..�....... ..� <br />1�i uork to Uc exe:utecl 6y.1. .._. L-2.11<2-�-.�r�.rJ...... `-�-`-�,`-Qun�`4� <br />�Stn sizc of tap. <br />..�_.Tnp to Ue inscrted in the main. .� � <br />...............\7ntcr closet <br />...�...........Bn�h , .. <br />..'—�.—:....... Urinnl <br />._.L.r.....Plnin fnucet in=idc � <br />......_.......Side }ealk �ensher �n . <br />__ :............Iiose bib outside lS'�'��I 3 <br />_._..._.....]Iosc UiL for 6uilding purpnsc, <br />._.....�:..I[osc bib insidc ' I <br />......—:... B.b far staUlc containing ................_..slqll......_.........._ � <br />..._—.....A'uuiber ot persuns in family . <br />.. . NumUcr ot rooms in building <br />�... . <br />Thc�prmnises nrc to bc used us n...__.. ., ,_......._... <br />. ._...._ . _._ _._ .._ .................._. <br />Thc o�cncr o[ the premises i9....._..._.. <br />....._.__ .___...__.._.......__ ...................._ . <br />The agent is........_._ ................__....... <br />._........__ ...................................................... _... <br />This applicatiun, nithough sigucd, ,tmll not be binding upon thc City, until <br />attepted Up the Superintendcnt of e\Pnter Depnrtmrnt. <br />Signed.__ ..............�.�:: �..e..',.�..._... .......... . ........ Pplicnnt <br />/ _. <br />�lceepted......lil..-/.:7._....192C� Py�....[;� . .. ..rli"_ ... <br />� . _. ......... .......... <br />� uperinten t <br />