Laserfiche WebLink
� <br /> � � � ��n �-. <br /> � � <br /> _ � `� ���. <br /> � n ����.. <br /> >� <br /> � ,« z��,�� <br /> � ncw� � <br /> � � �.. ^ ��.'75�. <br /> . . . , r_a?O_ c-z>'�vC <br /> _.. ��_ i_ . . <br /> . . � _ <br /> N'. L. Rnn f 15C�0 �-i-V C.P. � <br /> CITY OF C�'ER�'I"T==��'ater Department <br /> ; ,A <br /> Appli.calaon for Water <br /> All blankc`r¢;t be filled in ar crossed nut � � � � <br /> '—� _ � ___'_.._191��f . . <br /> Everct4 . L� �-v.�-� p�- � .� .. , <br /> TO THE SUPERINTENUENT(�A ff � \VATEN UGP.\RTh1ENT, � � � . � � <br /> l'ITl'�OF F.7IiRL'1'T: � .. . - - . <br /> I herebq spp1Y for lhc use o(w•ater in :ico�rdanrrwith the rulcs and rrgula� . � � , <br /> ti�ms of The lValer Uepartm�_nt, fur pur�nses nnd hxW�ess[ated below. �. .. <br /> DarinK :l�,c lime �hat any�d�hr u•ater mams mar be tnken �p by rcason o( . �, <br /> :�ny impruvrm<nts authorizeJ by� thr Citc uf L'cer<tt,in�rt��f any sireet or allr}� in � <br /> which they may have been I;.id,the Citp�r�ll not be requirrd tn fu-nish water durin� . <br /> the proqress nf�uch improre.nenLs tu any con�umrr w'h�� ���pp1>' mav tlms be cut <br /> nft, nr bc liable tnr any darnages for��Is failure so lo du. - <br /> App�tcn�uni xo._%-/--I -�'-- ---- <br /> I11ocA - a�'__ _..___I.crt_.�'_�____'__.Add____..__.'_.__'-_-_ <br /> No..----3--7 �-�--- -N-�L_Lf�_u�'---.._Strect <br /> . _..___. .__. . __ . _'_'__'."_.__'__' , <br /> ............ ......... _. -_-.7..�_.._. _ <br /> "fhe work to be e::ecutrd by__ I-.�.�e 41�i------ Plumber � � , � � <br /> S�atc eize nf tap. � <br /> ��z <br /> _ _.__Tap to bc inscr�cd in!he main. /(� <br /> '_�'__..11'aterelnsel ,/ J, <br /> ._�_._ . 13ath <br /> __x.__. .11rinnl <br /> __2_____.Plain faucet insiJc <br /> __X__. ._Sidr walk u�ash��r <br /> ._�_.___._Hosc biL uutsidr + <br /> ..'��/""'Hose Uib fa.t 1�.,...���:g�.urpasr4 � / <br /> __7___'_'Ilesc bii n=:dc � � V}� � <br /> ___�_ _. ISIII�OfFIdI' .,..SIBII.._�� <br /> �y <br /> ___ "Nm:ibcrufpcinunsin � <br /> __� ._.Numbcr nf ronm�in building . <br /> ThePremi,cearebi6cuaed �sa___ ��.C.LJ__'._...'_ __.__'_"""_.. <br /> The awner nf the Premi�es is .-___.�_,�Gq2��,�2flivL"""'___" <br /> Thc aKentis '............. .......'_.___'_ ._-. .___'._"_________'__'___' <br /> 1 <br /> 'fpi� ;ippliralion, althouKh signcd, sLall not bc binding upon thc City, until �o <br /> reptid by Thc Superiniendent of ihe 15'ntcr jepn� mBnt. <br /> Signed___.//--�__ ._�/f�_1/..�� . /___ __ plican�\ <br /> � � - <br /> . ..?.1 v <br /> y_ � <br /> '� <br /> AcrrPled..� IJ/ _""""""'"' <br /> - . . ��perintenEcrt <br /> �' O �/ <br />