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� <br />� <br /> � -� - ��-�, . � _ - , , _ , _ <br /> � - ,. . � <br /> . , <br /> 'V. D. Form a ISC:1 J-I-17 C.P. � <br /> C17'Y OF EVERE�'T==Water Department <br /> Applicatiari for Vyat�r <br /> All blanks ntust be (Ilc�!ip f�r crosscd n�t`�� <br /> - = ,¢,rfit/���=- � <br /> Everet:,...._.___/.______'_.____.. ..__..___197�"J. <br /> 'PO 'PHE SUPGRINTENDF.N1' O�TElli ',VKfGI< DcPARTh7EN'P, <br /> CPf1' Of EYtiRE'{"P: <br /> f hereby apply (or�he use o(water in accnrdance w�i[h the mles:md regul:r <br /> tions uf'Phe 1Ya[er D�par(m;nt, (nr �iurpo�es and fic[ures stated bclow. <br /> During the time lhat .�m�oC thc wa[cr mains mny be tal:en up by rcasan of <br /> am� imprnvemenls authorized bv [he Ci[v nf Eccrett in or nf an� st:cet ��r alley in <br /> a�hich tl�cy ma�- have becn lai<I, ti�e Cily will nut bc reyuired [u flv��;sh water durin�; <br /> the propress of such improvements tn any cnnsumer whnse supply may ihus br cut <br /> nff. ur bc liabie Car any>damaK�•� (���' its failurc tiu tu do. <br /> Applicntion No. _�/ 6 /� � �,/ <br /> -. "------ ^ <br /> � . - , <br /> i, <br /> ' <br /> Block ._____�_.__ .__._I.�L.__/—. �, AdJ._.:'__.�__l_.__. <br /> /'�/�- 310�..._.._.___' <br /> No..--'7-/-- ��-----,-'-/-��--�--y'-------- .Strcet <br /> _J V�� //.2 W �' l/!2G¢v�."_' <br /> "._""_"_ ._____ f'_-l_"""__"'_"__"' _'__"'___'__ <br /> '_" <br /> Thm wurk to be ezeculed bY--.__ � <-f_Q_ �. _��'���:,.-..._..____ Pl�mber <br /> Sta[c,qizr of tap. <br /> /�'., <br /> . ..' __Tap U. lt insertrd in Ihc mai . �/ /-'.�� <br /> .---_�---Platcr do�et � <br /> �Ll _— <br /> _____. �__[la:h <br />� _. _. ._ Urinal <br /> . ___.... Plnin (aucet aisidr <br /> ..__.___Side �nalk �eash��r <br /> ._-_ ___Hose bio nutxide <br /> _.___ _Hose bib (nrbuildinq pwp�.,ar, <br /> ._____._linscbibinside . <br /> _"_'_'__Hih(oratablecontaining__. ___._ .stall_-_ ��, <br /> .___ Numherof persnns in (:unily <br /> .__L�_NumUero(nor.�s in building � � <br /> Thepremisesaretobeusedasa . __. ________'.__'_. ._._. _ _. ._ ._ . ... <br /> Thi� oa�ncr uf[he prcmiscs is ________________ ___.._ <br /> . 'LhcaKentis.________..... ._..__"_."'_ .___"""_._ <br /> This application, allhough signcu,shall not bc�`�:Fng cpon thc City, until ac <br /> '•�pted Ly The Superintendent o(the Wnler D(e�p�a�r���:rN�,i. <br /> Signe�"V../v�n�---Y9'�"`----�-- --- --'App;rnnt <br /> � Ac�cpted__//��i� .._19�2 R5'___ -. _ ______ ,°'. <br /> ._'_'- cu�nimrracn ." <br /> II <br /> I <br />` <br /> i <br />