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i; / <br />�- <br />/ ii T ra 't' � J - . - <br />�: )� � <br />v�. o. rc:�, a �aeo i-i-v e. e. <br />CITY OF EVER�TT==Water Department <br />Appli�ation fo� �Vater <br />All blanks mus-, he filled in nr crossed nut <br />Lverel6-- �. ___—�.._191 !._... <br />.______._'/�� <br />'f0 '1'HC SUI'IiRIN'PENDI>N'I' Of "PHc \V:1TER UF.PARTn1FiN'f. <br />CPfI' OF G7GRL•"I'T: <br />1 hereby apply (��r tlie use o( w�mr in acenrdance w'ith ihe rules and regul�r <br />[ians n( "Che W�ter U:•p:vtment. (or purpases and fixWres sta[ed belaw. <br />Uuring U�e time tL:n a:iy ni lhe a':ucr mnins may be taken up by reasmi o( <br />an>' imnrnvements aulhorized by the City of liverctt, in ��r of .in>' street or alleq in <br />which they nrrv h:rve 6een laid. thc City �5•ill not 6r required [o furnish �.ater during <br />tlie PrnFress o( such imProvements tn anY conewner whnsc supply mny �hus be cut <br />nl(. or be Iiable (o� anY damages for its (ailure so tu dn. <br />��7 i'•, �y� . <br />APplicnlion No.'__ �'-'_L'`"!'-.-�'-'_' / rCl/�� /� <br />r� y \dd.. .._ ___'_/'��___'- <br />Rlnck �!�_ j7.. . __-._LnL___-._./----._.__' <br />Nu..____._�_7_�-�._._ _.__ _ _ ._'__..SVccl <br />2rJ yl -- ----- ------ ------- <br />•-Y�l- -= - - <br />- - <br />Thc �vnrk tu Uc cxccined by-_.._- _ Plumbcr <br />._________ _._-__ _'_'_"__'___. - <br />Stale size af lap. � — <br />y(, . T• <br />'fap to bc inscrted in lhc mam. ;,�,+"---_.. <br />7--______'_ . . <br />_ _ "___1Vater closrl <br />� :� • <br />'_'___.I3alh �. �,. <br />. � i, <br />___..___ .Urinal `'1� . . .1''l; p' . <br />_'_Plain (aucct inside � � ' <br />._"_'_ '1 � R... �� +, <br />._."_'___Sidc�r:�lka�ashcr ��. �` ','`., � , .. <br />_'__'_'_'HosebibuutsiJc �' ' ' <br />a <br />� • --_ ��: <br />_"'__ _. --I�losc bib far buildinF Purpnses ...: _ . , .. '-. . <br />'_______._Hosc bib inside �� <br />__'__'._'-liibforst.�6lecontainin8.____.__._-.sLJL--. _.--_ <br />_ _ _' . -. _ _ _ Numbcr u( persuns in (amily <br />.____.____Nwnhcr u( rooms in 6uilding <br />. _._'_.___..____ .___. <br />The Premises arc to be used ns a___-. -.. _._' ___ -___.' <br />., . ' _____________ <br />I he awner u( t te Prenuses is '---' <br />'____'. _' _'.__'_'___""' <br />TheaKentis .-_____________'.._.__ <br />.___._"'_...._"_.. _'_. <br />'I'his :�pPlicatinn, althou��L signeJ, shall nut be 6inding upnn the CitS'� until ao <br />repted Uy'fhe Superinlendent �ujp �e �WnlerGp�/�runept. <br />SiFned _ _ e%�/%/%7r_ L'-L��---- ----- �--'-APPlic�nt <br />...._�.___ � <br />A.//%'". J.� . � - CJJ'�' _ .=sir,..�miencec� ���. <br />crruted "---_191 Rv-_' '` <br />� / . <br />