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/- , . � , � ,�� <br />N'. D. Fur: 4 1500 b-I-I I C. P. <br />CITY OF EVERCTT==Water Department <br />��p�licatio�n �'o�° �Water <br />:AII blanks must bc lillcd in ur crnsscd nut <br />E�mretL____________.___/-UJ "�, _�_..____.1'JI..�. _ <br />'fu �i 111{ tiUPP:I:IA�1'ENU14N'I' OP 9'111i 1VATGR UIiPAR7'AIEN7', <br />l'I"PY OI� Ii9IiRE7'T. <br />I her.e6y apply (nr tlie use u( �vater iu accurdance wi[h the rules :md regula� <br />[i�ms u[ "PLc VVater Daparhnen:, for P��rposes und fixWres stated belo�c. <br />Durint: [he time that nny n( Ihe water mains m:iy be tnken up by reason of <br />an>' im�:rovements :mthurized hy the Cin� ��f Iicerelt, in ur af :iny strrel ur alley in <br />�.vhich [hey mrU' have 6een laid. thr Gh� �eill nut bc rcqnircd tu lu�nish �enler durin� <br />�he propru;s of such intprovemenls I�� :wc con<um��r �ch����� sw�plv wuc Ihu, hc nn <br />ui(. ur bc liablc fur :mY damages iur it, i:iilurr s+� ��� il�i. <br />- �� i, <br />Appliartiun Nn."_J� ' _ _ _ - . <br />. Rlock .o�.'(_2__ _____Lnt__ _ Add <br />..�..-,, .. . . . <br />D'o...__.�_�__��__..�'._I.%_..__..___ _ _. ..titrrrt <br />'__'___"'___"'_ "__'____"_'-'_'__-__'__'.'__""__'__"'"'___.. <br />'1'Lewod<loberxecutedbY__.___..___""_.. . ..____.._'.___ __ Plumber <br />5� c s�te of �ap. <br />��� Tap tn hc inserled W Ihe main. .. �.� �.. . <br />/ '__ <br />, �-. ��;. <br />� �v,«< �i�„��t <br />�_�______Aath � <br />_.___ .Unn:il . J��� � .��. <br />p .� / <br />._..._Yl�in(aucetinside � O - <br />/ <br />._. _______Side walk xasher �� � /� � ' ��'�� ��, <br />_[lusc biL umaidc �' � „�n�/ � � - t <br />. __ _' ___Hose bib (or buildiag purpnscs ;'. / .� �"Cf /i <br />��...,. �� - - :. <br />______.__.11oscbibin�.idc �`;•�;l•, , • r'. <br />_ _"".___i3ib for stcbL� contnining...-. . __. _ _.stall__. _ _ _ _�c'_ �;.�'..:--� m:r-� <br />�. <br />_____.___Nwnbcrcf persnnsin tamily ��:r-. �•i'r`:`.,.. <br />.�._____NumLcru(ra�m�in6uildin�; . ���^ l <br />"Phe Premises are tn Le u<ed as.�_.._. __.___________________.___' .__.-. <br />'fhe oa�nerof the premises is _.___._____"__...____..______--_.__.'___ <br />'ChcaKenti, __._.__._..-_. � <br />'1'his applic�tion, althou�;h si dc;� mll un �c <br />��epicd by'Chc Suprriniendenl� '�itcr epar� <br />SigneJ"'_ i,J/ <br />A[tepted���C_v�.�... . ]91✓�� �. <br />� <br />�, i <br />� %,, � <br />�li�v. unlil:�o <br />. ...-„��i.�,.:.:�.� <br />