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. _ • <br /> ENTJ�7 3-5. �-,� c/��/��,'/ <br /> W. D. Fcrm � ISbO J-I-I I C.P. <br /> CITY OF EVERETI'6=Water Department <br /> Application for W�7��],/�"er <br /> All blanks mus fillcd in nr c d�[/ <br /> � iA, t <br /> - ..�i -J� <br /> Evcrelt... _ . �•"_ _'"___'191'.!�_- <br /> TO 'PHE SUPIiRINTENDIiNT OP 7'IIE WATF.R I1EPhRTMENT, <br /> C17'1'OP E`!k RETT: <br /> i hereUy apply (nr the use n(water in accordnnce wilL lhe rules and reK�i��� <br /> tionv nf The 1Vater Uepartmrit, tor purpnscs and fixtures staled below. <br /> Uuring the time thnt any of lhc watcr maina may 6e taken up by rensnn of <br /> an� nnrnvemcnts authurized br thc CiU• n(G•icre4,in or of any sireet or allrp in <br /> �� ..h fhey may havc been laid.thr Cih• �eill not be required to fumish water durin{� <br /> � _nrogreas of nuch improvemenls ta nny cansumer whose supply may thus be cm <br /> .�i(.nr be 1ia61r.fnr any�:+mages fvuls (:iilnre so In do. <br /> Y . <br /> Applicnti�n No... /� �'0"_"_' �,�[/ /�i� <br /> lil�k-L.y�_ _._-/-/y,� 2d',^/-�`7'� Addi`i..�u <br /> / T '�'-____" ____I -_ <br /> No.__�!-oL�__ .. V-r�if'P=�U�C/ __". Streel <br /> ____________________' ' _..._"__ ______._______'__..______.___'__.""_ <br /> 'I'hc aork tn be ezenncd by_-.___.'-'--- __'-----'---------- Plumher <br /> Sta:c'/.s'u e of tap. <br /> ,/..L Tnp lu be inscr�ed in lhe main. -i // �,.�_—. <br /> L___Wa�cr clo�et g�l��--- <br /> 7— <br /> "_ J .Iiath �( / ,�GG <br /> _!D ci <br /> _ .Urinnl �, .. . <br /> ________Ylain (aucet insidc ��r �r'\. <br /> ___Side�ealk w•asher ''��/ �{ i � �:=: <br /> � ' <br /> """" Hnsc bib nutsidc � I �� `, <br /> �?��� � ` � �. <br /> _ - <br /> "Hose 6ib(or building Pw'puses � �:LS l I: II <br /> -'_"""Hoscbibinside �Jhr :� 1�1���i � <br /> _"".___13ib(orstablccomaininN�---�--.-stall. .. _P�,-�. ' <br /> � _._ 4/' <br /> _'_ Nwnbcr nf Denons in fnmily (.� <br /> "_�_._Nuntbcr nf rnums in building ::` '.`.� <br /> 'Phe premises�re ln 6e used as a --_-'--'_'_"'__"_"'_\ • <br /> . .t _..._' '_._. <br /> :��e uwner of lhe Premises is _'________'"'--'_"___'__'_'_"' <br /> ThcaNuNis __"....- ._.._'.__._...___ _.-_".'..______. <br /> l�his :�pplicatioq allhouFh signed, shall nnt br binding upnn the City, until�c� <br /> ceplyd bp The SuNernuendent af e tV ler Ucpaj��� <br /> tiigned_.__Y--�C.-�! ].__ _.L���-_' APPIi ant 'J�� <br /> A:cepie����-.�'�� 13>'""�y/!�,���-'_'___'�__. <br /> �'')./�y s,iri��mm�:,ni <br /> '� �'�� ���"/�,� _. . . <br />