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�.,. (,;_!: / _ .�_ . . � 1' N7'Ti 11-IS-3-1 —�0�-�. <br /> u'. p. Fcims ISCOd-1-i]C.P. 't • <br /> CITV OF EVCRCTT==1'Vate,r Department <br /> Application for Water <br /> All blanks must be filled in ur crass^� uut � <br /> IircrctL ...'-___ �7' � �--J,_. '_______191�L_'��' <br /> TO THE SUPL'RI�TENDH:G'f Of TIIG 1VATER �IiI'ART\lGN7', 1 <br /> C17S'OP 1':JERE7'T: � <br /> 1 heieb)'app{y (�'the use o(�+'atcr in atcordance�rith the rules and regula- <br /> tinns ot'fhc LVatcr U�partm.�t, (ur purposes and fixmres st�md bclow. <br /> • Durin2 ihe t�mc that nny oi ihc watcr maine mac bc ta4cn up by rcasnn ot <br /> any imPmrements aulhnrized bp Ihe City of Crerclt,in or of any strcet ��r allry in <br /> �a�hich they maY have hccn laid, thr City�will nnt be requi�ed to lurni=h watrr during <br /> �he pro�;rcss n(sud�improvements tn:�ny consumer ���h���e eup�Ir may thus be cut I <br /> nf(.or be liable fur auy dama&ea (n[itu failure sn to do. <br /> - ApPlicn[iun No..v.�� �-� �/'--' I <br /> Block _.1i..�'-J-" ' __'LoL�_'/_�(�� _L'�__Add'__'_"""'_'.___ <br /> \o..---�G.0 S�ocYS.!`_/.-"---�--'--..Strect <br /> '__._'-..'..___ .__" . ______"..____________'._'______"__'.__'__."___'. <br /> 'fhe�earktnL�i�xciuted6Y_.___._'____ '.__.___._•____' ____ Plumber <br /> �u " <br /> Stal size oi 1:ip. !,�j <br /> ,��.7'ap tn be inscrted in the main. ' � « <br /> '"_""'_ .\Valerdnticl . ' �� <br /> -__'___'_.Uath r �". ' . <br /> � <br /> ___. __. .UrinN � <br /> '___'_...__Piain (aucetinside � <br /> -___'____Side x•alk a•asher - 1� � <br /> ____.__.._linsc bib outsidc . <br /> r, <br /> __'__'.___I lose Uih for buildinf:{���P'�ses <br /> ...____"_��n5c ViV InSi(�e . . <br /> ____'_'_13i6 for ctable conlaining-_-_.--...--slall....._'_" <br /> __ ._._._.Numbcr nf persuns in tamily <br /> ___'_"__Number�d ronms in 6uilding <br /> The premises arc to be uscd as a._._.-.______'__""'.____"'_""'_' '_"" <br /> Thc owncro(thepa•misecis _____.__'_'___._._. .__.______.___________ <br /> 7'hcaRcntis .__..._. _ _.____"__ .._.._ _.________'........_-.___ <br /> This apVlicalion, allhough signed,=hall not be I�indinq upnn the CitR ❑ntil ac� <br /> •rl b)'Thc Superintcndent (�h!c/�p+ cr 1 �paruuent. <br /> l /,Gy .11�'f�•.. �---"-_-A Plican <br /> Signed.��_._-. _ " - . .. .- p <br /> :cplcd...��-�J __}5�� Uy_.�__'...__"'_____""__ <br /> '"-�� Sup•etinlenaent <br />