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y���� FN -r ;. _ y .. : <br /> . .'f/t""' .,5/�J�3/ ..T� ' . <br /> o' <br /> \V,D.I'orm�—IG00—E.P.Corb-2G-RI <br /> City of F.verettrWater Department <br /> APPLICATI.ON FOR ��ATER <br /> pll blanks must Uc til��°T �rossed ou� <br /> Ecc rc i t................... ....... . <br /> :Z�.:`.. .',/................1D2�.� <br /> TO TFI� SUPERINTtiNDli\CITY OF EVEI`.FTT UEPART�tENT: <br /> I hereby nPP�Y �orpth� uee o[��'��t�r in nccordmue ��'�tli Lhc rules nnd cegu- <br /> Uc time thnt m�y o[ thc wnter mnins mny be tal.en np UY renson <br /> Intions of the ��o'�cr Dc nrtment, for Pu�Poses and Cixtures .tated Uo ow. <br /> During '- <br /> afl���n�whi h lhe��m:�y h�n�e l�Cc�nylnici, ticVC't YLvill not�bc�r�uiredYtoLfurnisli <br /> m:�y thus�he cut of[or In: liuble1�tjur�I�n1'`d�n�Bes�tor�its�fn lurcrso'Lo do.uPn�Y <br /> Applicntiou No__..�i/i_%�/.............. ( SC �� . . � � �. ,- r <br /> S'—. ��. .... .__. :1dA. ... ....__..:.. . .. . . <br /> Block... .-.7.y/. q..... <br /> .. i ot ._�:. <br /> / <br /> No.. .. -4� (��7L II�. . :Gli�ci�. .... _Strcet ' <br /> �..... ..._.._.. _...._.... ...... <br /> ._ ........._.. .. <br /> .........._......._................._. . . <br /> . . .. ......-.... ' P1umUcr <br /> . . .-�'..�._ <br /> ._... ............ _ . <br /> .��-i_r.rc'.. <br /> The �vark lo be esecuted bY......-.-- . - <br /> ° �,�..�. O . <br /> Stntc size ot tnp. � /�/ ' ( / <br /> ���,,.'[nP to hc �nsei�tcd in thc mni�. � Q n <br /> �,,,_\;ntcr closeC A�� ,, tt <br /> � - insi <br /> ,�,.....tm��, CItY OF EYEAEIT WA,iER OEr7 <br /> — u�c��d B ,' �;; <br /> ...... r.,......,._....,.. <br /> ......_Z....Plnin fnucct inside � '1`.•.•......'--.^-. <br /> i <br /> .......... ...Side a•nik �rn=hcr . <br /> ........�......Rovc Uib ouleide <br /> .._....�._F4ose Uib for building PurPoscs <br /> .__.,,__�....Hosc bib inside <br /> ........ ....IIiU far stnbla contnining............_......stnll............_...... <br /> ......._�._KmnUer of persons in tnmily <br /> ,Z_-.i1.Number of rooms in l��uilding ,(� f ��Z� ................. ... <br /> J( 1, <br /> 'fhe premises nrc to Le used as n.... ���,� � �� _ ___ ` <br /> ���..... �.l.-l_ :..��l.s:C...._...._ <br /> The owncr of thc PT�=�^�g�s 13...... ... <br /> ..._......._........................................... <br /> The nsenb is................._............................__.... until <br /> This npPlication, nithough signed, clinll nut Le binding upon thc CitY, <br /> �,.. .oted bY lhe SuPcrinlend�� af t,h//e' ti'. cr Depnr,tment. <br /> ��" �� icn�t <br /> . :iignedf:.......C./_1::...�..F�/..'�..�!I.eF.�JyF,�j'YYL . . _:�'AP� � <br /> .i /1�i <br /> C../�..f'�..f..;,.� ,��/ ..........� <br /> f� - '�-._...._..1llt.�.✓ BY-.... � --SupXrin etidiiit <br /> .d.......�......�..... <br />