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_ _ . �s������ <br /> G�..�- . _ `_! _ :_ - w 6�.�. ;� ... <br /> � w. �•Fo��, . iscoa-i-i�c.e. ' � . . <br /> CITY OF E\'CRETT=="'Uater Department <br /> Application for Water <br /> . All blanks must bc filled in or rosscd out� <br /> �� __ <br /> Grcrcll� __' .191�"_' <br /> ... ._.________"'__."____ ___'_____ <br /> . � TO THL SUPERINTENDENT OF THF. �9A7'Ei: UEPARTMtiNT, <br /> � y��.� � l'ITY O� G7GRE7'T: <br /> :,.�.n.%.�.. <br /> `q��,,.. .' � 1 here6y app1Y fnr tl�e use of water in :+ccordancc with the rules and regula- <br /> � tinis�d The Watcr Uapartmmt. (or purpnses and fixtures stated below. <br /> ' � - Durin�the time il:a� anc of the watrr mnins map be taken up b.�, reason n( <br /> � ' � nny improvements authnrized by the City��f Lverelt,in or of any street or alley in <br /> �vhich[hey!nay have been laid, thc Cito will not be rcquired to furnish aater durin� <br /> thc proF"ess nf such improvmnents[o any consumer x•hnce supply may thus bc tut <br /> � � af(,or Le 1ia61c(or any damngev for its failure xo[o do. <br /> Applicnlionldo.___�_� .� � �7 .� � / <br /> � -. '----'---- �-_r i ��� <br />- tii�,�kp_. _j6�zv__9./.� _t.�c�--3z' -- _naa -- ----- -(--- <br /> Yu.o..� ""':/.7�e�r.�'_-r---�-Q�------��----..s�recc <br /> -____. __._._.____. ' _______................_..___�_'__-__' ' <br /> The�"�nrk ln bc execWed b)'______.__"""' -----.--.----�-------" Plumber <br /> St.lc ''zc n(lap. ���i ��-.M� <br /> i <br /> .. .-�Tap to be inserted in the maia — ---__ <br /> _ _ _ _ <br /> ___Waterdnse[ �( /.-. ' � �!�J� � � <br /> --'-----Ila�h �7'" �� [J-f//P <br /> _ _Urinal � ��� <br /> ; : . <br /> . "___'____Plsin (aucet inside , � . .�, . '� ..:.�..'��.�. <br /> � _Side v�alk washer � - ; ' . <br /> '__"" � �. , ,�• ' � � <br /> '� .Hnse b�b outnide ���� . ' ��[J� '����� ���� �� �� . <br /> """.___Hose bib for b�ildin r�xises 1� --L,�i� .: <br /> """_"'Hose bib insiJe �{� 1 �rl: �t ���' '����� <br /> . . -'_' ""'I3ib(orslablecontaming __""'.___ 11.��' ';"' <br /> rcr_ , <br /> � . . __Numbcr of perwns in family <br /> ..... .. �, � ____ ' . <br /> :y.�' � •.�r�,.y� , . � . • _.__" __'Num6er o(raums in building ��`���C � ����� <br /> 4 #' _ <br /> ,y '` y� v�`- `. � 'I'hc premises are to be used as a __ ___ _________ .. .__ _..._. <br /> .'. �a � `, `:� �5�. The awncr oRhe prcmises is _.. _ '"' ' ' "' ' "-"""" <br /> ^ ��#ir .� z � � L - Thc a6ent ie .'_ <br /> �19 .� , . '._... "' ' "' ".' ""' ."" "' <br /> '' ,,:"r `� .• Thie �pplication.althou�h signcd,sh:�ll not bc binding upon the City. until ac- <br /> 1; <br /> � �-� ,: ` �� cepled Sy Thc Superin�endent��f thc 1Vnter Ucpartment. <br /> dw � ��^ ,,,///��� J� ���� <br /> ��,, .. . � Sil:ned --:.�1J1Xp-•--- �- --------- ----'-----APPlicant <br /> i � i <br /> ' Accepted�.�'��_'___79�� B��(i�.____._ _' <br /> I 4� SuCClinllnA<cl <br />