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, ,. <br /> � _ = -v r � �;—,1—z 3 h'� <br /> Y:. b. Fonn 4 Il�00 d-:�1;C.P. <br /> CITY OF CVCRCT�I'==Water Dep�rtinent <br /> App�i�cata�n for Wate�r <br /> Ali ui�nl:s mus-t be filicd in or uussec ut <br /> Gccrcit. . //� �� ) <br /> . '_ /'__'_ _"_. '_."_"'l _�'_ <br /> "fU 'I'HI; SUPL•'RIN i ENDIiN"P OP'PI i,VYA'PER llTPAR'CA7EK1', <br /> (:17'1' : E`•'GRtiT"I': <br /> 1 herehy.,pply Cor the use uf�vater in :icenrdance c+ith iSe n les aud reHula� <br /> ti�ms of The Nater Depar[in_n[. (ur purposes ,md fictures sta[ec below. <br /> During Bie time th.�[:my of tlre a•aier mains map bc tai:cn Up by rcasnn uf <br /> :my improvements autliorizcd bc thr litc u( I:verett. in ur n( any strcet ur allcy in <br /> �,ei�ich[hey ni.iy h;�ve been I:iid. the City «�ili nol 6e rcquired to�,lunnsh �rater durinA <br /> tiic Prugress nf sud,improvements tn any ccnsnmer �vhose �su�plY �»��' dws be ci�t <br /> nii.ur bc liablc for auy damny;cs (or i[, (ailure so tu do. L �' <br /> Applicntinn Nu._' � <br /> 7��----- -- i <br /> iii<���: ��-�'-�- �-���,��_1�r,,�-/� - '-`�-;_l�•dd---�--- � <br /> "�'z`_:_.._i__ I � , � - — <br /> Nn.--/�°— -- .------� 1i fV_ .�_strect <br /> __..-___.______ _ _________ � '__._____________'_.____. <br /> "Phe �rork to bc execut.l � �.. � . ______________ Ylumbcr <br /> SLuc/$izc of tap. <br /> . 3/__�Tap tu be inscrted in U�e main. � �� iJU <br /> ________"R'a[er clus.:t ". <br /> ___._.___.13ath <br /> -.-..___ .Urinal <br /> � . _______Ylain fnucet insidc <br /> ___"__Side�ealk washer <br /> .._Hosc bib oulsioc � <br /> ._"_' �.��1 . '.1A. <br /> _________Hose bib (nrbuiluing purposes . <br /> � <br /> _._____..IIosc Lib inside .ri� . <br /> :/ <br /> � <br /> .____.___Rib(or stable cont:iinir.:;.__.._.__-_._stall._`_;'..___ <br /> I. <br /> ___._____Numhrr o(per:ons in (amil�. <br /> _._.J__Kum6erof roams in building <br /> 'I'hrpremisesaretnbeusedas;�..__._..._ ____.__ ________________ ______ <br /> "PhcuwneroCthepremisesis ___________________________-_.-_ _..___. ___. <br /> ��118l;C�1LIS__"______" ____ .__ _.. '______.____..___________. <br /> This applic.ition,allhough signed.shall not bc binding upon Ihe Ciq', until ao <br /> r,�p�rd by The Suparintende'it n[die\Vnt�� Dep:�rlmc9,L �. <br /> L /� •—�, ?— <br /> Signed_.._��'�1�/.'_"_"_'_ .___-�'_�`�tu_L�tif'_'�G4� ilican[ � <br /> _- PI <br /> Aeccpled_ __ '__"""_'_'I'�l Qy _ ________'__'_ � <br /> .� _. i� �'. �� S�q.�rin�cn.iem <br /> /i _ /–• <br /> . —/ � , ��i � . /�v <br />