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J . A � <br />. ,� h �)_�l_�I %� <br />W. 0. Ftr.m { ISaO ]-I-I]G F. <br />CI'1'Y OF EVERET7'==Water Department <br />Applicatio.n for Water <br />All blanks inus� uc filled in nr crncscd mrt <br />— , � <br />- --j / $ <br />Evcrett. -__.. ._'_.__.____._.191.;.-_ <br />TO '1'lIB SUPIiRIN7'ENDh:NI' OP T111i 1VA"1'GR U81'ARTMF.NT. <br />C19'Y OP F.`7GRIi'I'T: <br />I herei�p apply G�r the use nf �cater iu accordnnce e'iW Ihe rules and regula- <br />tions uf The 1Wrter Dzpnrunen�. f�rt Uurpnses and fis:ures strited bclaw. <br />Durinl lhe time Ihat anc n( �hr wnler mains mnr be taken up by reason ef <br />any imProeements authorixecl hy the City n[ I:verrtt, in or of anr strcel �rt allep in <br />�..hieh they m�q' hace bezn laid. Um C:1y x�ill nnl be required lu Girmsh water durinti <br />the pra�;ress o( such imprm•emen:s to anp consumer �rhose supply may thus be cut <br />n((. ar bc liable for any damages Gir its (ailurr su t�� dn. <br />ApplirntianNo.__ ._�� / <br />�st���k -y� - ��� �' nad.. -- <br />5 ,�-- � '� �� si�«c <br />� <br />.,- — - - <br />w,.����.-`_ - — ---= -- =--- � — <br />. _ ; <br />_— -- - � <br />__ . .. — -- - ,_ . <br />---- — --- - <br />- -- <br />-- <br />'fhe wurk to be executcd bY---� �------- —---� -----�� —- ' Plumb r <br />S/'��'I�f 1:1�. <br />_.�,"�I'�P In be inserted in �he main. <br />/�� O O <br />____� ___1Valerdoset X _�— <br />0 <br />__.�_.._l3alh .�. . . ^ <br />_ . .. <br />_ _ _ _' .Urinal : . .. . . ' � <br />__Plain f:mcet msidc � ';'�1 ' : <br />�i � <br />__Side walk W�ahcr �� ; <br />,� � <br />.- ___'_Iloscb�bnutside �Il � �{if�. - �����/� � <br />.._._...._Iloschibtorbuiidingpurp��ses 1 fF� ��� i.�i ,� . <br />' �� i;" <br />.____Hascbibinsidc �L`i. '- . . ., <br />.... �.. �� � <br />___'___IlibforstablccontnininK�------.—.stalL__.- �i.p�_. ' :{ . .. <br />Numbcr o( Pr:suns in family ��P�^;. <br />___�__Numbcr n( ronms in huildinp <br />ThePremisesarcwbcusedasa_._.-___.'_""__"'_____________' ___... <br />'Phe mvner nf thc Premises is .____._._..'_-. - .____ __________ <br />. ._..__-____ <br />TheaFentis."_'_____ ._. .._ ___._"'_' .._____ <br />_-. _'_"'_____ <br />This apPlicaliun, althuugh sipncd. shall not be binding upim thc •�ity. mtil ao <br />. cptcd bY Tl�.c SuperintcnC �l o( thc 11Srtcr UeP:uuucnt. <br />Sigucd.�_ �G'' �� �.('T i�.(N1.r J�C� Applicanl <br />�����/( �y � /� / � <br />Acrepled /pl�ib�._ .._.1!il"7 HY(��"__. ...__ .. <br />[J- / �,...i <br />' J <br />