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.• <br /> �itir-.e i- �s :t f���_1�-�—� i; i ;. , _ /;,, ' <br /> �v.u.ro����—��oo—r:.r.co.—c.zss� <br /> City of Evcrett�Watei� Depal'tment <br /> AP]?LICATION FOR WATER <br /> p11 Ulanl:s must bc fiiled in or crossed out <br /> Ecerclt,......_...... �_.E.J_'�_.._�.�..............1D2�J ` <br /> 7'O THP.,SI7PSRINTr:dDEyCITY 01' El'GI'I TT UEPART1iliNT: ` <br /> I ' m'c6y apD1y ;or thc usc nC��'ntcr in zccerd:mce witlt thc rules nnd Tc6u- <br /> I¢tiuns,,r�ng �11etCnnDlhntt�uny oC thc o�lt�cr mnins mnyrbe lnken up1Ly rensan <br /> ali v�in��rhi h the��mny h�nce UcenYin�cl, t1w�C 3 L�ill not�be requi�edyto�furni h <br /> map t1au��Le cut o[t,�o�re�'b/e liabl/e fur�nnp dntnuAcs�fnr�its�[�i Iurerso tos��snPP�Y , <br /> Applicntion No.._d��•�...�+��.._........_..I , , . � <br /> _.. Add....' — ...... I <br /> - . .....�............_._..._... <br /> �Y �y t' ..... I.ot.......................__.._... . <br /> 131ock......................... .. <br /> � y4(vt,�::-.Strcet � <br /> vo......1/.Q.1` -....�.�-l_�..c� <br /> . <br /> _ _ ....... <br /> _ � <br /> _. rm�„t��T <br /> Tlte �vork lo be exccuted bS.- .. <br /> Statc sizc uI tnp. . ' <br /> ._��_......Tnp to Uc inscrted in the mnin P ' � <br /> ...../...._..1Cnler closet ✓ .�� � ''`� . <br /> .....�........Bnth J �t�. � �i ����� �� <br /> _-....:.....Urinnl CITY OF EVER.7T Vll����� �-�'' � <br /> ....7--....._Plnin f:mcet inside CY..............::..�i............................. <br /> ...._.._.._..Sidc �valk �vasLcr : <br /> I <br /> ._..�.........Ilo=c bib oulside <br /> ,_..-.,..._....Iiose Lib for buildinq Purpusrs <br /> __. <br /> .........Ilosc bib insidc <br /> ,..._.,....,...I3ib Sor stnUle contninin <br /> �....................stnll.................... <br /> ,.._ .....Tumbcr ui �ersons in LnroilY <br /> ,_,�f,.—.....NumLcr of rooms in building �/] � � <br /> I -�'' � _.. <br /> 11m preutises arc to bc used as n�.��� ��� )y�� ��-- <br /> 7'hc owncr uf the Premises i -�/ <br /> Gi �L.G< /1 .Z!/? �. ._ ..... ' <br /> . ._.......... . ... .. <br /> .. <br /> ie agent ix................. . . ...._._..._.... <br /> . ......... <br /> - applicntion, nithuugh e�gned. '=1vd� noL be Linding upr.n lhe Cit vntil <br /> Y, <br /> by the Superintend t of t6c \Vn�m�t� � PPlic <br /> SiFned...�.�......... . ............__... nnt <br /> / 9 �j/�Y_....................... <br /> �a��..:.../��...1�..^j.. DY-..... '.. . ' mrmtendent <br /> � _ _ <br /> � <br /> / <br /> ' ' .v J <br />