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V.'. L. Fcrm 1 ISCO :L, . i G. P. <br />CITY OF EVERE�,i'7'==Water Department <br />�pp�icatian f�r Wa4er <br />All bLml:s musl bc filled in ar crnsscd uu[ <br />— �� <br />� <br />iivcrett.. _ _ _ ' _ _' _ �� %[.: �1.�_� _ _ _' ' _ _' 191 � _" <br />"fU 'PHE StJPItItL'�'f1iNUF.N'1' OI� 'fHE NA7'ER DEPA127'AfI:NT. <br />CPPY UF Ii7IiRGTT: <br />1 hereby :ipplY l��r the use u( wa[er in accoreinnce with the rulcs and regula- <br />ti���-: nf "Phe Water Departm-nt. [ur purpases and fix[ums st�ted bclow. <br />Uuring [he time tliat any of the water m:,ins maq be taken up by reason o( <br />:inc impruvements autharized bp Ihe City uf Iivercit, in ur o( any sVicet �rt alle�� in <br />ivhich thry may have been L�id. tlic City �eill nnt be required to fumish watcr during <br />dic prn,�ress of such iutpravements tu :my rms��mer �chnse suppl}� may thus 6c cut <br />olf. nr bu liablc (ur any damages [ur i[s failurc =u to do. <br />APPIirn[inn No . _�'�' E�"/"'_' <br />ISlncl: _��/_�' .___Lnt__.���-.�-U___Add._____ <br />..._... __ ...._ <br />•— / _ <br />\o._____.�__��.�_____ "_�.O_�-_�.___..Stre��[ <br />'_""_ ....."_"_"_' . "_"_____"'__'�_{/' '_'"'_"_' "_ '"'_'__' <br />O �'_""__ .._. <br />'1'hc�corklobeexen�:edby_.___.._.__GtA.Q_2�i-__ ___�Plumber <br />S�:i�c si?e n( tap. <br />.�� '�- '__Tap to be insertrd in the main. �'' <br />1 i <br />f�'� <br />.: ; �`;�,i "'7; . <br />. % , ,.,,,..Ae�� r �. <br />'� ��\�,,r <br />. ' � � 1� �`�� \` " <br />.. _. _ _"_Nater doset <br />13,rth <br />u��„ai <br />..._Plain laucc[ insidc <br />.._.___Sidc�valkn�asher � <br />. . . _ _.._Hcse bib outside <br />_ .__.___Hasebib(orbuildingpurposes <br />-_ _.__Husebibmside <br />___I3ibforstablecontairi.�g_._'___.__sIM1�� c '� ••�. <br />__ ' tE � <br />.-___.._.Num6eru(persnnsinf.rc��ly ��•:-'":r.=• <br />.-�__'__. Nmnber o( ruoms in nuJding <br />'I'heprcmisesam[obeusedasa___.________'_______________________ ____" <br />,_ 'Phe owner u( thr premisrs is ____'..____ <br />___._._________.__.___ ____..__'_ <br />"Phc a�;ent is .-.------- <br />..__ __'_"""__ "__"'_"_"' '.. ._.'_'. __ <br />9'his ;ipplicatiun, altho �h� I, sl�l m hc%q, inding. pun ic City, until ac- <br />cuptcd by The Superimen .• n: e 1V Ie�j I cJ� y7�'��,n� .;. <br />Sitined _�/'�1 -��yL���'-�' \` <br />t —f`�licant <br />Acrop�cd _�___'. /-I� ' 13 _'__"'� \'` . <br />. <br />� �.- _"""__�_ <br />r — _ <br />! �'" .y .r:nte.�,:eu <br />. . _ �. � . . — r S' . .. : .. ' <br />