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/=h / X� D"- 5� - 2 > ` , ' <br /> , , � . . <br /> W. D. Fcrm � IS(0 J-I-I IC.F. � <br /> CfTI�� (�F EVCRETT==Water Department <br /> �pplicatic�ai fos.° V6Ta,ter � <br /> :VI blanks m�s[Uc filled in or crorsm nut <br /> ____ q � <br /> Gvcrcll�'.__. "'//�� �'•'_ <br /> '___'___ � . "_'__'_'191'f' <br /> 'I'U 'I'lIE SUPIiRfA'TGNDI?N'I'OP T11E NATF,R DEPAIt1'n7ENT. . <br /> C1"!'Y O� G�JFI2ETT: <br /> I hereLy c�pply (or the use n(waler in acenrdance�cith the rules and reF;uL•�� � <br /> �i����of"Che �V�ter Uep�r[nrent, (��r purpnses and fixtwrs stated belmv. <br /> Durin� the [ime that auy o( the water mains may be talcen up by reason uf <br /> :mv iinprovemems authorized bq the City nf Gvercl[, in ur of any strcet ur allcy in <br /> �chich thry mnl' h�ve been laid, the City will not br required to (urnish wa'er during <br /> ihr prnpress n(such improvements ta any consunrr whnse supply map Ihus be cut <br /> nit. or 6c liable tor any damages Ga its failure so tu do. <br /> Applicn[ion No._7_7_ 7.�C <br /> " '__"""' <br /> Block ____2.�y_ .__._Lo[__..__L7//_J____` <br /> 1dd.___. .__ <br /> _._.'___.-. <br /> ���._./-S�3.z,. �_�<,_, — <br /> �, y"'='.-,--.___..Stree[ <br /> ._ "--..------7t��/--'- !_y �. . <br /> , ... --------- <br /> -------------- <br /> – --- <br /> fheworktobcexecutrdby________ ______ <br /> .___..__.___.___ _.__ Plumber <br /> SI:1te 'izc nf[ap. <br /> ��__Tap to be inscrted in Ihc main. <br /> - . . -'_N�[erclaset o 0 <br /> . ___ .___I3ath �c ..—_– ' <br /> .. -_. .Urinal /J <br /> -.--_J'lain faucet insidc / �.. <br /> __ __Sidewalk �cashcr � .– <br /> � .- �.-Hose bib outside � <br /> � --_. .__Ilasebibtorbuildingpurpnsrs <br /> - �-__Hosc bib insidc <br /> ---�– Bib(nr stablc cnntainin " <br /> g____. _.__stall_..____ <br /> --- / --.Aumberolpersunsin (:unil�• <br /> -----<--__Number o(rnnms in buildin�;/„ <br /> - "I'he premises arc to be used as a_____ . <br /> G�1�.=______'-..- <br /> " _"""___"' <br /> i '__.. <br /> m owner of[he premises is ____l�.k�_._y <br /> Theagentis__'_. __- �;'- ---�_-_ _-_.-_____.___' <br /> _-__._.._..._____-__ .%.... .__ <br /> "Phis applic:�lion, allhough signed,shall not be binding upnn the CiIX m[il nc- <br /> ���ptcd by The Superinlendent��(the H' [er DepartinenL , � <br /> Signed–C���)'�'_�"LvL�.tj/1<..(�e��/g '+ <br /> --- '� Applicant''� <br /> Accep[ed __ . � /� /�/ /� <br /> � ._�__._._.__ 111 R��.,k=_�GZ f�(/<_�2(�e4 f <br /> — ��—�3 .o��2�s���«���e�e��� � <br /> :. , C_� ` <br /> I <br /> - -- �� <br />