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:l �_CA.I L 3� . � _ .,_ ..� � . . _ . . � '. . <br />\1'. U. Furm 1 IbUU—F..P.Co.—:�:f _l � ' <br />City of EvereCt�Water Depzrtment <br />APPLICATION FOR WATER <br />AII Ulanls must Ue filled in or cros=ed out <br />7 / <br />c.�«�ct. ..................................r..(..�L...' _.......ioz..�. <br />PO 7'IIE SUI'PI2INT�NPEN'I' OR TTIG VVATiRR DICPAI;T\fis\T: <br />CITI OP EVERCTI': <br />I hereby npply fur the u,e u[ w:der in :�ecordence �ciU� the rules nnd regu- <br />lations of thc l�'ater Ucp,a�hnent, for purpo=es and Cistm�es sl;rted belon�. <br />During �Le time that m:y of the �vater mnins r.iny be tnken up Ly� rc:�son <br />of nn}• iwproeinner.ts authurized by tlic City of Eceretl, in or of nny �trect or <br />nllcy in «•hirli �hey nmy hnce 6ecn ]nic1, the City n•ill nol bc required to furnish <br />�v:;ter durinF! lhe progress ut such improcements lo t�,.y cnncumer .�.Luse supply <br />m::y H�us be cut otf, or be linble fur ane dmm�ges ior its f^ilure ��� to do. <br />Applic��tiur. ;Io.........g...�.�..s� <br />................ <br />Black......._��_...�.._ .............. Lot.......�..Z...o._........_...._._ Add........_ . <br />._._._. ._ _...... <br />\ o... _ _. ..: �.{�. %Z. 2.. �.�:"L�.rt?..—"'..� ...............Strcet <br />The �vork to be esecute;l by.._._.....__....._-�.-�. __....... ....FlumUcr <br />SLa size of tnp. - <br />�S ./ <br />'.Y.....Tnp lu be iuscrfed in tlie main. � <br />�, <br />.....�.........\Pntcr closet � �., <br />/..........n�c,, "�"I \ <br />..�...—..—Uriniil ' <br />...... �.—..Plain facrrt insi�lc <br />_`..........Sidc �valk w•nshcr <br />_.._ �.,��,I�tose bib nulside <br />...........:....Hosc Lib for buildin� purposcs �/ 7 <br />._`:. ....._Hosc bib insidc V. `�! <br />.._:...�:_I3'it5 for stublc contnining ...................stall.................... <br />......:_-.Tmnber of ncrsons in family <br />.....!.-�....Nu�nbcr of rooms in building � <br />1'he prrntises nre to be vsed a.� n h �: S-�t�...Q!-,t�c,.,<-`_.. <br />/ `""- _ ... ..... <br />'Che mcner cf LLr. premises is � QS.� �U+-.�- . <br />�-�--ua-�-!-t.Q,c-�-� <br />entis........_ ......................................._...._....__....._...._..........--------__...._.. <br />��' -�tien, nithungh signed, shall not Uc binding upon tlie City, until <br />. Superinten c�} t of thc Wnter Depp �ent, � <br />��S ��(�'��"`µ_i'.�''t'an` � �.. li t <br />/ <br />.�i ne ........ . ..... . . _....... PP <br />. . . . ' � . ..... <br />— '� / <br />..,.��_-.�.�.........19"J'.. Up........,����..ZC.�.'�_ ................. <br />/ . � �c�intendcnt <br />( <br />