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J <br /> _„ . j <br /> � •- ,, <br /> . , <br /> IV. D. Fmm� ISOOYI-I�G.P� ' ` - <br /> CITY OF EVCRETi==Water Departanent a <br /> ' Applicatiora for V�'ater � <br /> All blanks must bc filled in or crossed out I <br /> > s� , <br /> Lvcre4.._._ .___'_______�/Y.�. .___191'Z'y� . ' <br /> "PO TIIE SUPBRINT131UGM1'O�Tlili NATER UIiPARTMIiI�T, <br /> CI'f1'UF F,V�g137'T: � <br /> f herchy applv(ur th� use of water in accordam�e wiU, t1:e rules and rrgul�� <br /> tiun,n(T'he lVater U:pirtin�nt. fnr purpnne, and fizwres stated belnw. <br /> ;w; imnn vemewsca�uthonicd M�tnc�Citv nf Grcrrt��irn nr�! �vkv'�slraclLnr allr� in <br /> •,ri�irh thry m:iV have been laid, �he Cit>' will not bc reyuired tu Icrnish waecr du�-in� � <br /> th•• pra�ress of such impracrmrnts tu any mn�umer whuse wpply may thus Le cut <br /> ��i(, ur Le liable(ur any'7doin�iK�y��r its failure su lo do. <br /> Applicntinn Nn.'_'(_��.�� <br /> "'"'__" <br /> liiuck -)'.�_��__' _..__LnL__'�_1r-�•4.___Add.___. <br /> / �/O �� --.__..__.__ <br /> .__`� . __.. ___._ .___..Strert <br /> _ ._.____' <br /> ipeworklobeexecuted6y __.. ____�-l�e "c.._��_.�___-._--"__'.__"". , <br /> _"� .__'_________________ Plumber <br /> Stal�zc n(tap. .i <br /> � � <br /> � y.--=__7'ap In bc inscrted in thc maiu. <br /> -'-..�__Waterdnset ./ '_ <br /> �---/--..Bath / �. _ ��_��" ..e <br /> --.'__ .Urinel <br /> --"_Y:Ylain Lmcet insidc / <br /> '� <br /> ---__Sidc a�a lk jvnshcr % � <br /> / <br /> . .__l.._Hase bib outsidc �✓� <br /> -----.__.Ho=e bib forbuilding pur�rovcs /• . � <br /> . .--__..Hose bib insidc � � <br /> —__-_..I3ib(orsta6lecontaining___--_-_st�IL.__ __'_ <br /> -- -`� _NumUrrof persuns in famiiy. <br /> _--�_'Numbcr n!mams in building � . <br /> ThepremisesaretoLcasedasa,__..__,__ _�e ' , <br /> G / � � /__-_�_.._.'._.__-__ <br /> ' "".. <br /> '1'hc mrncr of lhc premises is __�.C.__J�-�d�—�- <br /> _._________._ <br /> __"_"_ <br /> Thc agent is___'.__ <br /> '_"_"' _'_"'_"'_"' <br /> 'Phis applicalion.altliough ciqncd,shall not bc binJinN upon the City, until ao <br /> '+y The Superintendrnt nf Ihe 1Vnter Ucpar�lmc/nt�.� , <br /> SiKned�`__' !_Z�-���1�(,ll-t. <br /> -�---- �- - �PPliqant <br /> "___ <br /> — � �����/ �s• - " � _ <br /> , `T z?��„i,��, <br /> �,� � <br /> � <br /> � <br /> i'r I <br />