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r .�R7' {� `1' �-�9� <br /> N'. D. Form'4 I500 J-1-V C.P. ' `. � <br /> � CITY dF EV[:RETT�=W�iter Department <br /> Appincation f<�r Water <br /> All blanks musl be filled in nr crossed nut <br /> Everrl4.__'_..._'-__ 9 <br /> _______�._._____.191 .�.. <br /> TO THE SUPERIN7'GNDIiN'P OF THH N'qTER DIiPARTMFNT, <br /> CITY OF E:/ERI'>TT: <br /> I hereby apply(nr the use o(waler in :iccorJance witl� the mles and regula� <br /> tiuns uf The 1Valcr Uepartm�ent, (nr purpne s end fiztures stated bclow. <br /> During the time that any n(�he w,iter mains may be takcn up by rcason o( <br /> any improvcinents authnrized by the Ciq•ot Bverelt,in or of any s�rcet ur allcy in <br /> , «�hich they may have bcen Inid, ihe City v��li nnt be required to lurnish waler during <br /> the progress nf scch improveinenls tu any consumer whose supply may Ihus be cut <br /> uf(,or bc liablc for any damages !nr its failure so to do, <br /> � . . AnPlicntinnNo.---7_�_Z_O._, <br /> � � .; .� �. _ � <br /> � i. • <br /> .. I31ack .�_�.9_- �----��-�-3'v.�,2.�- zc-_Add.----- <br /> i *�� ,. �_' , - - ----- <br /> Nn. .� � ,� A' '"�:���,�Z,t�Strcel <br /> I F �. .. . '_' ' ' "_ " " _"_". <br /> ' ' _.___ _.__ " <br /> ; � '.. .. _' "' p � <br /> , ,. 'Phe wrork to Lc c�enrted by S S�ii�.r-gL _ 1'lumber <br /> �� � _ <br /> �e ' � � St te size of tap. <br /> l �r <br /> . � _� �',� -.__Tap lu be inscrted in the main. /f,9,n n r� S f�' o-�` <br />� � : - .... --�-'-_.1Vatcrdoecl " I/� s <br /> U <br /> i ,r:,'. �--- nath ��,�. �z `> ii q . <br /> 1 � ' . ---.---_ .Urinal <br /> I . . . '--'---_._Plain faucetinsidc <br /> I ,�.�� . � - _'_'__"'Sidc walk washcr <br /> �4:�.�.. , . � . ._ . . �. _'_____.'_Hosebibuutside <br /> . . � ,. . f '-""'___Ilosc bib forbuilding purpnses � <br /> -�i•_�-�.:. .�� .. ._._'___.Hosebibinside <br /> .�i'}i;.. - . <br /> ��;��'. . .. �, --'--'__.Bib!or staLle conlaininR----_.____slall________" <br /> -�� . . -'___..___Numberofpersunsinfamily <br /> i <br /> - � -�.____Number nf ronms in buildinp <br /> a� ;. . The premises are to be used as a . <br /> . � ._ ' � ' ":. ../_/ �1 <br /> i � . The owner of lhe preini, s is �Cd+�dNw.n�e...t we.�, i.t„_�� <br /> , - � L . - ' 1 <br /> ". . <br /> '[ . . Thc agent is _ . �_���'�lz_ <.-s�r-v� <br /> ' ' ' <br /> t�,��� ; "'his applicalinn, although signcA, shall not bc binding upnn the Cily, until �c- <br /> j�� . crptrd by The Superiniendcnt ul�c Na�er Uepartmrnt. <br /> �y� �'' / _ <br /> �71Ir� 'F ' �,.. . <br /> �. ..� : :/• :�� �,i" .. <br /> . . SI OCd______"___"'___'_ n� <br />� �/77 '/ ----------- Applicant <br /> . __ _ ""'__' <br /> Accepted.,�`�.__--L,t 1� 1;. <br /> "'._'. / <br /> / 7 '_ ' """'_"""'C_""_"__" <br /> � Su erinbnAcct <br /> I '/ <br /> � �. / G . C-/�' f <br /> � ,z� `. <br /> �.�...�..-, � ,_., , <br /> � �u� <br /> � � �t��''��'�'"�''##�'�3� i�+ 9 '�'< `�,r [�i� �t !j&.'aR".'. <br /> ��.�:� '� s{�u' < ,��''� d'tcK1��. <br /> a -r a .f <br /> . . .. xt . . �t.+.e,�° .�D z Vr �i �Ix e virc. <br />