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;�n"�n� � <br />- - _ �i. ,, <br />u�. o. r. �.��. y. � ccn a-i- i� c. r�. <br />CITY OF EVERCTT==Water Department <br />' Application for Water � <br />All 6lanks must bc filled in ar crused � t / <br />Hvcrclt.--.�__"_'_' ' / '. '_'_". 19��7-- <br />'fU 'I'llli SUI'IiRIN'PliNllfiN"1/' O� 'Hti WA'PIiR U'PARTT11iNT, <br />IL�I'1'Y OF H�J@RF.I'T� <br />I licn•bp :�pply (ar the use nf water in accard:mce with Ihe rules and reguln� <br />ti m; uf "I'he Watcr U:p;�rUnent. for purpnses and fistnrc:: staled brlmv. <br />Um'inq thc limc lhat :mp of tlic wntcr mainc ma�� be Inken up by rensun of <br />auc imnruvrmm�ls authnrized bv �he Ci�r o( F.ecrrit, in nr o: anp strcel or allry in <br />�rhich Umy mqY h:tve becn laid. �he Cih• �vill nnt he rrquired �u lurnish waler durinti <br />�he prnl'ress o( euch improv��inen�< m any e'onvumer whnse supply mny thus be rut <br />ulf. ur be Gable (or ;mp Ja��:�ges fur ils (:�ilurr su Io Jo. <br />r <br />Applirn�ion Nn.'_��U__ , <br />�f, �� i <br />IiloiA _...__. 3 '__ . Int. � ��tl,,1C /. ��[r..t.� <br />�s—YJ —� c. — <br />.�, CJ a��_ <br />_-_ s�«�<< <br />_ <br />_ ._._` �--'_ ,: . <br />- - -._... -- - --- - -- — --- <br />"fhetcnrktubeesetuledbY___"__"'_ .._.Plumber <br />Stetcs eoi I.lp. -' -""'_- ._ _'__ <br />...�z.'Pap lo bo inscrled in �hc main. ."/ t .. � . <br />�.. � <br />'_.-'�_11'atct clnrct . s j � <br />--_-_l_.Rath . . / <br />.. .-._ 1'�iii3t <br />. _ . � -Plain faucet insidc <br />. _ ___--r,a.. ,....�i. ......�,y <br />. � .._Ilnse bib nutsidc <br />_..___._�111 ,�• '�'ekin�. �ioccs ,-- ! <br />-' _ "' _' Ilusrl+iH-xeridr � . <br />r/-- <br />._'_'___13�.IvrsLilil�cunlainine___..___.._slall.._ ._._ . <br />- -_ Numbcr uf pennns in (amily � : <br />__ <br />_ . �Numbcr ot rnoms in buildinK <br />l'he premises :irc lo be used as a_ „'.' <br />_._. . <br />�,, �� - - <br />��,.u--- <br />. .I'hcow�ncru(Ihepremisrsis "'__""'_'_ . '___'__'_...�„_"" <br />Thc agent is """"_. _.. � ' <br />. _.__.__._.___ .__ <br />"Phis applitalion. although si�;ned. shall not br binding upuit Ihe Ciq', uNil ac' <br />rpted be The Superinicndent u( �he 15'n(cr I�eparlment.�/7 <br />Signed�..�__�--/-� --�1 ' `"__A lii�an� <br />� -• • <br />Acccpled � .J/.c �'!�� Hy __ -__ _ l�_ <br />- �_ ��� , im.ndem . <br />