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w. n. Fo��„ a isce a-:-i;c.r•. - - <br /> CITI' OF EVERCTT==Water Department <br /> Ay�p�lication for W ater <br /> :111 bianks must L•e filled in nr cras.ed uu[ <br /> Iircieu. _ '___' ._'�,�__"'___'l�_-/. <br /> 'Pu "IIE SUPIiRIV9'°NDIi\"1' OI+'CHH R'A7'IiR DI3PARTbIBN'1'. <br /> C11'Y OF G7I3RGTT: <br /> 1 hrrehy applY f��r thr use n(e�n[er in :�ccordance with thr rulce nnd re6��l:�� <br /> ii,�ne nf The Nater prparunent. fnr purpnses and fi¢mres stateJ bclmc. <br /> During lhe ti�oc tltat :m)'u( the water mains may br taken up by reason of <br /> :rn- impravements aucPuri>.ed bc (he Cilc uf ISeercil, in or nt �ny street ��r allry in <br /> nhich [hey m��y have neen laid, tlic City �vill nut be required tn fumish teaLer durinF <br /> thr pru�ress o(such improvemenLti[n any consumer whn=.e suppi}� may �hus 6e cut <br /> �df.or be 1ia61e for an^d.images for its (ailure su to do. <br /> '7 I �" j /� <br /> AI:plicnHnn No.'_-"'-"" _"_"_�__1_ �(/�/ /�— <br /> I11��cA _o�G/�� ._..I.oLZ_e��_,/"'__""""Add_/�w�-'�r_v! _�,._ <br /> \,�.._'�'�/U.��.y4 ' ___'_Stree[ <br /> �� _'_' <br /> 'fhe �cork [obeexecutrd6)'________'_____-_ '...'_ .___._--_--___" Plumber <br /> SL te sizc u(tap. <br /> j�y.""TaP to be inserted in the main. ��� � i <br /> V <br /> ____.)___.N:uerdnset ) 5 °���� <br /> � i, <br /> �- � —n:un <br /> __.. .__ .Urinal `� <br /> ._..-__Plain (aumt insidc <br /> .__.__.Sidc�calk waeher <br /> _.. . .__._Iluse 6ib nutside <br /> . __.._Hose hib tnrbuilding purpusc} <br /> __ .___"Hosc bib insidc <br /> i <br /> ..___._'_13ib(or stahlc containing.___._. _. stall .. _... � . <br /> ._ ___NumLero(persunsinfamilq <br /> � �"_"Number of rooms in 6uilding ' <br /> 7'hepremisesarembeusedas:�_.._�L.Q-�—G�.1?-rS-L__ _ " .__ _.__ <br /> � ' � � <br /> '1'he owner nf the Prentises is -�_�'_._,l).�_C.�.__�-..C�f-'_ <br /> TheaFentis __.._._ _. ._____________ __ _ .�. <br /> _ __"'__._ . _____"' <br /> 'I'f}is appliralimt, altliaugh signcd,shall not b: h�-�(:�� u�:on th^ CitY, �ntil ac <br /> c��pted Ly The SuPcrime�1dent nf the Vnter • � tmeut/� l.� <br /> t ti � � / 7 <br /> Sil:ned '__'- ' �"__ '_ . \/�—e _" _ ' Applicaut <br /> �,Ic�l_7 �=��1 It� � _ �j��^�/.�� <br /> ' '_'C:.rintenAem �- <br />