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h <br />` r" <br /> L,_e��-,a i�-r2- 3�-l� . �:.�.c-�f 7,i s- �i . �r� <br /> . �i'.D.Fmm�-16U0—ti.CCa.-G-:G�2� ' � <br />, City of Evere;�t�Water Department <br /> APPLICA 1 ION FOR WATER <br /> All blanks must Uc filled in or crossed out � <br /> -•�-- �` <br />/ '�� ...307�.� <br /> liveret.t..................... .... ....._�a:._.............. <br /> PO TI1E SUYERINTLNllENCITY OFE ' RGTT: PA1tT\fEKT: <br /> I hcreby npP�}' for thc usc ot wxtcr in :iccm�dnnce �eith thc rules nml regu- <br /> Intiuns of lhc «'uter Department, for purpo�es :md fis'ures stated 6clu�e. <br /> lluring the timc thnt any of thc ��•nter mnins may bc tnken up bp renson � <br /> of nny improvementa aut6orixed by the City o[ E�'crett, in or nf nny street or <br /> ullcy in whicL they may ha�•e 6een laid, thc City will not bc required ta furnish <br /> �vater dm�ing the progress of such improcements to nny consumer whosu aupplY � <br /> m.�y thus Le cut otf, or be linble tm� :�uy dmnngcs for its inilure so ro do. <br /> Applicntion No.....���� - -� g'�"S �' �, I <br /> ..................... <br /> '� � �� l,! ..... Add._S-C� _t'._..d.:.:._.___._� <br /> Clock................X.`.i....:...._....._ /Lo-t-.�......_..�..........._.......... <br /> No......�O..Q.��..;Z!%�GGf/YI.Gl�-............Street <br /> . .......... ._....._...................._.... <br /> ..___.. .. . _.._..... .._..__... � y� <br /> .._.... . . .�; <br /> Thc ��ork to be executed by F[�!�l��.��_ -`...._..--.Plumbcr <br /> i <br /> Sla�t�e s�ze of tnp � // � � �� � <br /> ,L/.'�L.....Tnp to be �nscrCed in the Mnm . '�� I � <br /> / � <br /> ......�.......\Puter closet ' . � ; . . <br /> / 'r- .�.. -�, RETT,� .: 'I <br /> ..._..........Dn[h c , <br /> ................Urinol _, 1 ,' <br /> �.. . ........... .. ., <br /> ,,,,._�._..Plnin inucct inside � � <br /> ........-.....Sidc walk x•nsher , ��i <br /> '_...�.......IIosc bib outside �'I <br /> .....—......Ho<_c bib for building Purposes <br /> __...-.....IIose bih inside <br /> .........—..—..Bib for slnble conlaining....................slnll.................... <br /> .,,./..r.....Numbcr of persons in fnmily <br /> .(P.......N�mUcr of rooms m Lwlding � <br /> The premises nre to be used ns n .... �' ����-� -- ���-�--� <br /> The owner of the premises ia .���v1��-���Z �---- - <br /> I <br /> Thengent is...............................................__...._..... ...�....___._........._....... ................ <br /> 'Phis npplic�tion, nithuugh signed, ahnll not be binding upon the Ciry, until <br /> � �epted by lhe Superintendent of iLc Nater Depnrtmsnl:� <br /> SiSne�...J..................._ .�l.7...�1.C,-?4.C✓�-:.G�Cf�. plic t � <br /> ///yyy i � //`' ` <br /> -:led..../..-�/S�„?/......192...... IIY..��^�//`�J't+'���� - ...E./! ...... <br /> � / p c�i <br /> ent <br />