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���y ^ (. �y_i/J <br />N'. D. Fcnn � ISGCJ-1-1]GP. <br />CITY OF EVERCTT==Water Department <br />Application for �Vatez- <br />All Llank:; musl by�flled in nr cru'.ed �t� <br />�_.____��'_ � � � <br />Iiverelt. __.U_�' . L' -� _-__'_-19%�^�'.. <br />"fU "1'l1E SUPIiHI\'1'ENDIiV'1' OF'PHH \V.\"PIiR UI?PART\11iN9'. <br />L'ITY OI� 1 7FiR8TT: <br />1 hereby apply fur the use o( n�aler in atcurdance wilh Ihe rulrs and regula� <br />;i..in+ of 'Phe \V:LLer DzP�r[nt: nl. (nr purP�sez and fictw'es slated below. <br />Durin�; 1he lime Ihat :my n( thu �vatet maius may be �aken up 1�}� renson u[ <br />anr imnmvrmenl� authnrized bc Ihr Cily o( Iicerelt. in or o( an7 sln:ct ��r nllcy in <br />whi[h they m:n• hacr been laid. Ihe Cft7' ��'ill :iol be requlred tu lurnicii �valer dm�inp <br />the Prntirecs o! such improvements ln anp i'� usumer �rhrte supply may Ihus he i nl <br />nR, on c� 1ia61c for any dmnages fnr iIs L�ilure so tu do. <br />� Q � <br />Applicnlinn Na '_ _"�""""" <br />/ q J <br />61uck __ ._[c__ __.. Lot.y ��/._-...`.'. �..��dd _. . . ._ _ . <br />__ _. ___' f.. <br />i <br />'l ?__O _ .� , <br />\o...---.-- . _. .. .-_'_. _Le___.'___..Stree.t <br />___....____... .__' . _.___' / _ '__' <br />� �/-7,/� '_____'_'- ' '-- ' _' <br />"I�h � �vnrk lu br execuleJ by. _. _ _ ''"' �`�_�-�'�"G`�,�-��. _.. _ YlumLrr <br />Statc s' ie uf Wp. <br />_�%-_"Pap lo bc inscrted in �hc main. �, /C� �" <br />-'_ �___15':��crdoeet <br />[__� <br />.. _. . .l�rimt� <br />` <br />_"� _.Plain laucctinsidr <br />_ _ _ /_ _ _ Sid��calk-K�r <br />.._' J� __ Hosc bib uut siilc <br />. . _'_". -41a�e Li6�f*�t5oildin;: Pw pnsrs <br />_ . . _ _ _ Il�ue-Hila-insidt�' <br />___-'_ 156-fosi:l,il�le<vntaimng. __..._--stall-_'-�.' - <br />__ _' NumLcr af petsans in (amfly � • <br />- � <br />____ " Kum6cr nf rnoms in Uuilding <br />"1'hc remiseaaretnbcusedasa._ .. '______'"y_///7� �'�_�-�--�7�� - <br />'I�h�•��ner nf lhe Preinisrs is _.�1L1�1'� _�J%y-a—it—�-.�J'--1�-; <br />Thcagentis.'_"'___.__ _""'__'..__...._'_"_"'_""'_ <br />This a��plica[inn. althouFh si�;ncd, sh:�ll not bc bir iing upnn the Ci15'� ��ntil no <br />"Che Superimendent of ihe 1Ynter Drparlm/p�nt. /J <br />� / Y/. �L/ _ : i / <br />/ <br />SiKned'f���.f ____L'_ ZR.L?- 2 �_ApPlicanl <br />/ � . <br />. .`,"".."T91::. Itr.,'_' ' '___'_..._'_'__'____ <br />^ . sur•nmen:u.i <br />