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.,. _. . .� - 1 - �5=c::.•..::..:: .. . . . ♦ ' '_ . . _ . . . <br /> ' � -ia . . , . . <br /> V;. O. Fmm � ISOjl3.1.�7C.P. � u <br /> C�TY OF EVERCTT==u'ater Department <br /> �,pplicataan .for VVater <br /> :111 blanks must be filled in or cross�d out <br /> Everelt.—___.__.'__ // .�.7-._._19�_:. <br /> _-___'_.-_ <br /> 'PO '1'HL SUPIiRI\7'BNDGN'I'OF'1'HG N:\'1'�R UEPAR'1'\11iN7'. <br /> CI7'Y OI� 1 YERE'PT: <br /> I hr.re6c apply (or the use uf a�ater in aaurdtmce with the rules a�id reFul:r . <br /> ti�.m� u("1'he Wnter Departm_nt. fur purpo;es :md fxtures s[afed bclo�v. <br /> Dw�in�• [he ti�uc Ihat .iny of Ihe watur m;iins may be taken up by reasnn of <br /> any imprnvumen[s auUiorizrd 6y Ihe Cite of lircrell.in or o( anY strcet ar alley in <br /> �vhich[hey maY h:rvc hr,en laid, ihe City a�ill nut be rcquired [o (urnish a�a[er during <br /> the proXress n(sucL impmvrinenls tu any cocsumer �chase supply may Ihus 6e cut <br /> ��tl, o:be liable(or anl'�1:�inAages fur its [�ilure so to �o. <br /> Applicntion Nu.___,�_f" . <br /> _- _ <br /> I 131ock ._____.__._ _._._I. t_.�__. . . <br /> �1dd.____. . .. <br /> __ ______.. . <br /> .—. _ . . __ <br /> I' No.----'�'t',�-�---.-_�' -.-�-----��1,. Strect � <br /> � _ <br /> '__':.i_'_'_...�:_"_' �' � '•. <br /> ' _"""'_'_"'.' <br /> /' /__'__"_' '__'_ <br /> __' <br /> 7'he work to be esecuted bl'.-_.._.__L _.._ Phmibc. <br /> _____.___ _ <br /> _'__'_ ____ <br /> S�c size u(tap. .�_ '___ <br /> / a � i� <br /> ��---�ap [n be inserted in•he main. p <br /> �i <br />� __�_.__ _.�1'nterdosc[ I� � O � � .. <br /> ---- �s,w <br /> 'l � <br /> .. --- — .trr��,.�i <br />� <br />� .'___.___f'lair (aucut inside ���f�..; <br /> tiicic«�aik �vasl�cr �5,�" L`"`' <br /> -----._. � t j ��>� <br /> --______._llose bib outside � �j,/ 1 'A�F�� <br /> i ., �j n,�" �,. <br />. . ----'_____Hosc bib for huilding purpuss ' �-� �; i (r',. <br /> --"__'__lfosx bib insidc -� � �.� h <br /> �.i. .F.�,r/ �� r� <br />, __' _'__"Rihfnrs�:ihlrcontainin�;..__.___.. _stall_ // �' �il l �: <br /> _.__ _._..Numbcrof persnns in family �' 7-„ \.�`�-- ,y�' <br /> t 1 T �� <br /> _�____..NumDcr nf rmm�.. in building �\`,' .sP�> . ./ <br /> ,��.t��j <br /> l'he promises are In Le used as a._._. . .__.'"_`_`�.._.-.::_=�� <br /> .__._�__-. ._. <br /> '1'he o�vr.er oC the premises is _______ _ <br /> _ __...... .........__________..__. <br /> Thcagent is. .___._. ... _.. _______._ <br /> ••.his applicatinn,althou�;l�lncd, shall nr,: he h�ndin�;upo❑ thc Cily, until ac- • <br />' cep[rd 7c 7he Superimeu� of;he Wn�er D r, ment�. � .� � �� <br />. . 5il:nr �%�_ / �: "L2�'�c�—.� :' f <br /> � <br /> _ '�,. �f�N• ���_r� '_ �__'Applicanl <br /> 2 _ S <br /> _'_'"""_"_ __ <br /> . �_�. <br /> M n�«���a __ -- --- �'n i;�•-- � -�i <br /> f.�,��_�' �.. ��,���: ,;� — <br /> � �, y� . <br />� <br />� <br /> �r <br />