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['�Y'TA-.�- :.��-_... . . eNTa. �-��_-yv �e <br />• r <br />u'. D. Fann 4 I SC� 3.1.17 C. P. <br />CITY OP EVERCTT==Water Department <br />Application for W ter <br />All blanks nu�st �IIeJ in or crosscd nu <br />lircrett.-._ CL (./' _'____._19Y"C._ <br />'P(1 'PIIE SUPI?RI\7'IiND1iN'C � IIG 1VATER UEPART\11iN'P. <br />1'1' OF GVIiRIi'P7': <br />I herehy appty fnr tl�e use u( �valer in accordance a�ith the rWes and regula� <br />tion: of Th^ Water U�partm �nt, fnr purpnses and ti�tures stated beluw. <br />Uurin�; [he time th.0 nn�� of the ��;�t��r mains mny be taqen up bY rrason o( <br />:my imprnccmcnts authurized by thr City of 14vcrrtt, in or o( any sVicet ur nllev in <br />�vl�ich tl�ey niaY h:�vc bcen laid. Ihc Cily will nnl be rcquired to furnish a•atcr durinF <br />�hc pro¢ress o( such improvrmrnls ln a�q' cansumrr u�hnsc zu��i>• m,�y �hus bc cw <br />nif, or be liahle for any dam:�Ges far its (ailurc so to dn. <br />" r <br />Applir.�tinn Nn._' � <br />... ,_"__'. / <br />Illuck _� � . "___I"n�_" G1 <br />'Z' '__"_"-- ._._. Add_______ _____________ <br />p ) _.. <br />Nn... ._ _./_"� _C-._i�'' __._..Strect <br />'�.._ <br />_____.__ _ _ .__.__ . __'___'_.._____ ..____.__.______"____.___.___.' <br />'1'hc�vorklobecsecutrdb)'_____._ ._____' Plwnbcr <br />.._-____ ._-.__.._____ <br />Sta[/cp iu u( Up. �j <br />.�L.��_Tap la be inserted in Ihe main. � G(%- fi <br />-.-fY-.l1'aterdnsrl � ✓ <br />--_.__ �.Bath � <br />._- �`. .lirinal <br />. _ .. _ _ Plnin fauret inside <br />... ___Sidc a•:Jk �vasher <br />- _ -. - "'Hosc bib uulsiJr � <br />i , <br />.---Husc bib (orbuilding purpacc� ? <br />- . `_' _ _.I losc bib insidc �' �' . <br />..___'__'_Bib (or stablc coutaining.._._.._..._stall_... <br />__. <br />, __- ..._.Numbcruf persuns in familp <br />____.r"_Numbcr o( ramns in building <br />7'he premises are tn be u�ed as �_. „�e_�_p :`�_7 ';t...a+4,.., <br />.._ '_ __ . �., .. <br />'1'he owner uf lhe premises is "_'. �lGLb1 1�" <br />.._____._.'._..._______.___'__.____-. <br />The aKent is . ______._._.. <br />___.._.____'._....__._ ________'._____..'__. <br />'Chis :�ppli�:�tion, ellhnugh signed. shall not bc bindir.� upnu ihc City, until ao <br />n�ptcd by'I'he Superinicndc�� t `u( Uie RS�Ic�I e �rtmem. <br />Si�;ncdr � f/� �(M� � <br />I�-f/-I:'�-`=----1-'_ '�'_."��'�"�'_Applic�nl <br />Atceptrd_-- /_�..�`�' �i _ -l�-.� I_f__. __ _ _ <br />, !'� .... i,n-�c�..,� � <br />