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. , <br /> �. Y 4 ' <br /> W. C'. Fr,rm t I500 YI-17 C.P. <br /> CiTY OF C\�ERCTT==Water Department <br /> Applic�iti�n for �Vater <br /> All blanks must bc fillcd in or crosscd out <br /> pf�z - <br /> s,��«t�.— -- ----- ----- ----- — iei7---- <br /> TO THC SUPERINTGhD1iN'C OP'CIIIi NATER DEPAHTT1L•'NT, <br /> C17�Y OF L"1GRETT: <br /> I hereby apP��f��r ihe use of a'ater in accnrdance aith thc rules and regula� <br /> tions n(1'he\Vaicr U_partmant.for purP��ses aml fiztures stateJ 6clom. <br /> Uurinq the time ihat anY ot the�aater ivaiuy���ay be taken up bY reason ot <br /> anp imnrovements authurizeJ b>� tha CitY��rcerMt,in or of any strect�ur alley in <br /> mhich theY maY havc becn laid.the CitY will no[bc mquired ln lurnish watcr dw�ing <br /> �he prncress o(such impr�vemenis lo any consmner whose supply mny thus Ue cut <br /> nB,nn c� liahlc(nr any dnma c�fur its fai�rrc w tu io. <br /> ApPlicnliun No.� ���.---'--' � � �/ <br /> I31nck _-"_'�L'�i_7_-.'_.Lol_�_""__""._"'.AddTl.f!!7!l2G�(<'-q`-ti( r <br /> Z �_p�__ � ' '__..Strccl <br /> No."'_' _. '" "'__ _"_""" <br /> "__"_'"'__"__"'_ "__. <br /> '_'_'_'__ I, ' • .-y—� ._ <br /> ' '_"_""_____""'_'_'_ <br /> __ <br /> '���,fhe wurk tn be executed by.___.'--lA.[,L�-�'tl-�L-----------" Ylumber <br /> Statr siae of tap. <br /> � �� O <br /> _ y.�___Tap lu be inserted in the main. <br /> _'�•._'\Valrr dnset u.�u � / <br /> " i� <br /> Ualh <br /> ._.._... � y � <br /> -'-.--.. .Urinal 1'\ . <br /> 1 <br /> _"""__Flainfaucetinside ,.� <br /> ____.____.Sidc walk�vasher <br /> 1 <br /> _""_""Hnse bib uutside - . . . �I �� � . <br /> "-_-_.__.Hosebibinrbuildingpu�pc,ses � � �� ��� ;h � . � ,. <br /> 1 I <br /> ___Hescbibinside � �'`"! <br /> '_"_'___I3ibforstablernntaining._____.__.slall-_. ....._i' , . <br /> ; <br /> _____._.Numberotpersnnsiufamily � � <br /> _Numl?rr nf rnoms in 6uildinq. `. - �.: <br /> _._�_-_ , i , <br /> The prcmises are tn be used xs a_/��-�--� - ---� <br /> "Pheow�nerotlhc�geuu/sesis �-W�=_ . _-__--_._.. ._•___ _.____ <br /> ThcaHcntis . .�L�-l.A� �"Q`«-..-_______" <br /> (��_' _ <br /> This applicalinn.allho�•�It s:gneJ.shall not bc binding upnn U�c CitY� unlil aa <br /> cepted by The SuperintenP.cnl��t 1,�Wuter Uepartn�t.' � <br /> Signid__'^'/-t:�r�li:��%�l.!v�:>7_'Applicant / <br /> AmcUled._ _ " _.. . _ _'____.'____"""__ <br /> __191 By(Zy`�yi� / <br /> ` sv:rrimeneen� I <br /> l �-� � <br />� <br />