Laserfiche WebLink
O I <br /> � • <br /> 1 <br /> � � � • <br /> , + • 1 <br /> • \ <br /> W. D. Fmm/ I500 3-1�V C.P. . . <br /> � • CITY 0� EVLRCTT==Water Department , <br /> � � Ap�alication for Wates� <br /> � <br /> � All blanks must be Glled in or crosscd nut I <br /> " � r,����«- - - --------------9�/'�------.isi7_. , <br /> . 'PO Tllli SUPIiRINTCND8h1'P OI>THIi 1YATER DfiPART�1tiNT, <br /> . <br /> ci�•t'or t?vLtztsrr: <br /> i hcrchy apply far thc asc n(�catcr in attttordnncc with thc rules and rcgula- <br /> ti�mv n(Th^_\4'ater DepartR�en4 fur purpnses and fixt�u�es statcd Lelow. <br /> Uurint�the timc ihac airv n(the water mains tnap be t,kcn up by rca�un of , <br /> • � an�:imurovcments authorizcd Lr the Ciic nf ��:�'crett.in ur nf anY strcet or aIIcY in <br /> ���hich lheY��:�1'have Uecn Iniil. the City���ill nol be rrquircJ tu(m�nish a'at<r during. <br /> � thc prn¢ress o(such imPravi�menls tn;my consume� �vhnsc suppiy may thus 6c cut <br /> ' a ut(,m'br. 1ia61e for any�lar,rig�s (ur its fnilurc so to do. � <br /> / U S� <br /> Appl:cntimi Nu.__�_�_��. �_---' `� �, p /� <br /> � l3lock -----.(.,�P.�_ �_._.Lot�`� ._ 1�_�7 --Add.�-f-vzt/;"cti!,.L-t-� <br /> � tio..__..�._b��_dr'.,.�-_'-----�-----�7--_'�-----.StreM � <br /> "__'...._. .."_"""' ' "__"..."'_"I _I'_"'____"'_"""___'_'"_"'__""_' <br /> . � � 'fhe woi': tn bc cxcculed by__.-{�V-�--.-=-------- Plumber <br /> , Statc siu nt lap. <br /> I <br /> , ' • __ (y_'Tap tn bc inscrte<: in thc maiu. � <br /> � - . . '--,li----Norer doscl ���J /, I <br /> � . . __.Ilath . o . <br /> _'___ 1 ^ <br /> _ .Urinal <br /> , � _ '__"'__'.Plain faucet insidc � �1 I <br /> , ' ; , .. '___".�_Side walk a�ashcr <br /> , . � , .. � � • . . .:.....r � . <br /> ` S "_'_'_'._Hmcbiboutsidc �` . <br /> : . . .. :. . , �1 \c . . . . <br /> . , . „ . _""' Ilose bib fur baildinf;Purposzs , .�� <br /> ' �. ;4� .• .__ "' '_Ilnsc bib insidc . . ., 1 � \� <br /> � � . � ' � 1 <br /> . � . ��� � • '__Bib for slablc containin�;.__'..__�..,.vtAll�. .. ...' I (•.1� � �i <br /> . _""'_ ' <br /> ' � _"'Nmnhcr af persuns in (amily . �- . � �i �� <br /> ., ..__._ .. <br /> ,I <br /> ' � Nutnbcr n(rooms in buildinµ, - ��� �' <br /> , , <br /> _'__.f'_ g—�-���. . � <br /> � � 7'hc Premises are tn be used as a___�:l�a':'t.--� .. _.. , <br /> ..; r. <br /> . . � .�._"' '_' <br /> , Themvnernflhepre/m��sesis .___'.___'-___.._. _'.__ .�t__"__"'_'_" <br /> •r�m :igancfe..-----,�"._- i." ; _ _ 1'�-�-��---- -�---�------- <br /> • 7'his :�pPlicatinn.:�IthouGh sisned,shall nut Le LindinK up��n the Ciry� until ae• <br /> e <br /> � ce lcd 6y The Superintendent of the\ nler Ueparunent -'' � . <br /> � / �� � <br /> � Signed__. .C----=://_���!!_.'__'��/!/�.-17.Z1A'pplicant <br /> n,�ccepted __""___191 135'_._ ._ _' _ _'___c___"""_/ <br /> /✓/f-_/� - auC<rlNendrnt <br /> , • `/ � <br /> A <br /> Q <br /> 0 <br />