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, <br /> :._co y�c,-z� -�}J '��,-�1r-1:1I - , �';r <br /> . � <br /> R'.ll.Vorm 4��11nit—G^.Cn.6-26:J <br /> City of E��er�tt�--�Water Depai•tmer�t �``"L <br /> AP��,ICATION FOR �1�TER <br /> dll LL•mis inust Le fiilod in or crossc� out <br /> Cccrott............._._.._.......�.�/................_....._._..19?7... <br /> TO T[II; SUPi:]iltil'ENllP•.N'P OR TIIP \t':1TI:C2 DEPARTil1ENT: <br /> CITY OF PVPCPT'f: <br /> i hereby npp;y Cor thv' 115L' OC \51�1'1' iP eCICIIItIIICC `11.}I LIIC' rufes ,md regu- <br /> Icliuns of the �t'ater DePartment, for pmpo�.es ;md iislm�cs stnted bcle�v. <br /> During the time that any oC thc �vater mains may bc tul;en up bp ren=nn <br /> of ;my improcemm�L; uuthnrized by the Ciiy oC Grerett, in or of �my xtreM ur <br /> .^.:!eq in which thep may havc becn luid, Um City �vill not Lc requirnd to iurnis6 <br /> ,v..�ter during qie progress at such immavemenle to any cnnsumi�r mhuse supnly <br /> rrq th¢� be cut off, or be cI/iaLle tor any d�imnges for iLs fcilure su to do. <br /> :lpplicttlon No... ___. b �� r —'7/� � <br /> ,/ .. ... .......� .... <br /> ci ��i. _.._.._.a..9..'T� i oc. .. � Y. _. �aa. _ <br /> so. ./.�{"O� . _.. ........au�ect <br /> . . . . .__................ . . ._ .. <br /> '17io n�ork to be executel by_. .... _ _ . . .. . .......Plumber <br /> 3 t tc �eze of tap. - <br /> � c <br /> Tap lo Ue insnrteti in the mnin. � j � <br /> �.._ � - <br /> �� ''� <br /> ....�.........�Virtcr doset � <br /> ..�............I3at6 <br /> L_.......Urina] <br /> ____.......Plnin faucet inside <br /> -.__ <br /> ' L.........Side �valk ���n=.hcr <br /> _..............Hase bib autaide /, <br /> .-...�.....Flosc bib for builuing purpo=es �� <br /> ---.::....Ilose bib insiJe <br /> --.:.. ....Bib for staUle containing................_..stall.......... <br /> ' ;-�..._..lumbcr of persons in family <br /> ?-..-..Number of rooms in Uuilding � <br /> p��emises nre to be used ns n �-C��„/ I .�.� <br /> � cner of the Premiecs is..�L� ___�� ��, r.L�_t '� <br /> 7 <br /> �Fent is...........................__.._._......._._..__.._...... <br /> ............_....._..__......................... <br /> i nis applicntion, nithnu�,L siy�ned shall not be Linding u��n tLe Cily, nLil <br /> accepted hy the Superintendcnt o/f t�he R'nter Depnrtment. <br /> ��Fnwl�.������!_.�/��1 L'L2'�CiQ� __ _.. ..._.....npplicn� ` <br /> Acrcpt��d..... . ... ...___.._. . ..l^0. . .. P,��_. ._. i- <br /> . _ . . . . _..__.........__.........._..... <br /> tiuporin�rndent <br /> � � <br />