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1V. D. Fom� 4 I500 YLI �i G P. ,�: �. <br />ClTV �� EVCRETT==Water Department'' <br />t.�p�alication. fo�r '�Vater <br />:111 blanks must bc filled in or ttnssed nut <br />��(_-� i_'_-_191.`/._ <br />Gverett.-_.______._.______._' _ <br />"CO "I'NE SUP6RINT6K�DIiN'1' OF 7'HE NATIiR llIiPAltThiliNT. <br />CI7'Y OP I:7IiRG7'T: <br />1 h��rr,bY ��pply (nr the use of n•:uer in �iccordance �aith the n�les and regula- <br />ti�.ms of 'Che VVs[er Uepartn: �nt. f�n' Durposes and f xmres stated belnw. <br />Du,-ing [he time Ihat :mp ot the w:rter mains may be t:Jren up by rcason of <br />auy improvemer.[s authorized i>c the City ��f I:ttreL•. in or n( any slrcet nr alle}' in <br />�rhich thry m;p' have been I:�id. :he City ��'ill not Ue required tn (urnish a•nler durin�; <br />ihu prngres> n( such imPravemeN; [n auY �'onsumer who=e supply m.ry thus be cu[ <br />n(L or bc liable fnr nny damegcs 6ir its (ailure sa Io du. <br />����, i <br />APplicnlinn Nn.'__'__.__' '______ __- , <br />r <br />I31oc': ---��y----' -..__L:,t._%_�.£f .AJJ . --�%�.-� <br />,-- _. ___.... � <br />No.__.____c� 0.��_._'_�_�'C%.�'.__..Strect <br />...__.__ ._-___ ,,/ <br />'_ . _._.____. <br />.._.__._..___.-_-_�_____._.___'_._______ <br />'fhe wark to be ezecuted by-__ W.._�rO���J],. ..___ Plumber <br />Sta�i size ��f L•�p. <br />��_'_ PaP to 6e irs-crtcd ir. tlie main. <br />_____�___.AV:ucr clns'et r�,j�" <br />i` <br />.._i.___I3alh � <br />_____ __ .Urinal �j y���, <br />.._____ _Ylain fauccl insidc . , '.- .. . <br />. . - _ . _ Side walk washer /• ^' Q . , . <br />"I�lose bib uulsidc II�� . <br />- � �-� � Ilose bib for building Purpuses +� j� � �. ' �I.� . . �; <br />������ _.Ao=_cbibinsidc ��'� �� �'��� `f 1 jli:.. �I <br />--" <br />;\ � <br />_'____'_liibfurs[aolectintaiuin�;-_-____-._.s[all_...-.cl_\;�, ;?iy' .�' <br />'"_ - , <br />. . �� � :::. . <br />._._. -___NumhcruCperv_�onsmf:mul}, • !-n. , :.� �,. <br />. `-v ;. -. '. ,: <br />. ...J __'Numher of rooms in 6uilding � ��� 7 � . .. <br />� � ��, � � <br />'PLe premises arc tu bc used as a./� .��+��-�-G�-�'-'���-�--. ." ". <br />Thuo�cnerafthepremisesis.__l..l=fl--G'�=�,� �-�'II.__._. <br />,. �. •i <br />'fhcagen[is _._'- _----____ ..._-.._-._ <br />"I'his applica[iun. although si�ncd, shall nnt b�� bindinK uP���� thr Ciq', until ac <br />,.�pted by The Superintendent ��t �hc \Vnter Department. <br />�/t,/ r � / ApP!i:an� <br />Signed_.__ '4' !G "�wt.�. /__.__ _____ <br />��.-._. _ __ -. <br />AtccPtcd./���_'-�_'_ 1� R.- ' __.. �._'_- <br />� r, -n� �en,1c:.� <br />. � <br />�� c L'-.-",-..-� , � ]- n-. , . . <br />