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._ .�� , . . � !�- ., . . . , : -. . . <br /> .. ::. F'.:�:1 I`GO J-1-1]C.P. <br /> CITti' OF E\'['RETT==��'ater Depart�nent <br /> r Apaplacation fi�r �a�ater <br /> :111 'ol:mks musl bc filicd io or crusspcd i�u[ <br /> — � ].c.� <br /> — <br /> li^crv:R. �'. _•/"_ _' '_ .___... 1�- _ <br /> "f�) 'I'IIF: SUFI�.RL`=�I�F�\CL.V'f OF TI1E�VATGR UEPAftTklliR"1'. <br /> ::fi'Y O� G`/ERGTT: <br /> I herehg a!�pW (nr the use n(��'ater in aecordanee with the rules and rrgulm <br /> ti:,oa.�("I'h� Nater !1�pnr[ment for pnrpuses mid fis[ures sia�ed belox�. <br /> Uuriug �he time ih;u any u( die���ater m:�in;may be h�ken up bY reason o[ <br /> :me imuruvement�authur�zed bp the City o(6verell,in or o( any strcet nr allry in <br /> ,dnlch they m'iy hacr been I:�id, lhe City will no[be required Lo furnish waler dcrin� <br /> �h��pru�ress a(eur.h imProvements to any rnnsumer u•hose supply may thus be ci�t <br /> ,�tL ��r br liable for any/dmpna/A��r/s for its fai:ure so ln do. <br /> :lpplirntiun Nn.__L_a -C ./..__ <br /> r '__ <br /> iilnck _.__I�_� ..LnL y1_"��-_.��"__Add__. ._ . _.. . ____'___ <br /> Vo.__�0 �y_._ .�__ i!' -___.__...._._..Street <br /> _ <br /> . _ ._.. .__"__ ' ________. .__ ___'____'__ <br /> 'fhewnrktnberzetutrdb>'-. . _____'_"'.__"-"--'__'__"_ Plwnber' <br /> sw�e s ����i tap. <br /> a� <br /> i � <br /> ___Z P�p [n b�.inscrted in thc majn� � �_.�' <br /> _ __ �. _Na�cr tlnv-��� �� <br /> . .._�_-I3ath <br /> ___. .Urinal <br /> "[_ __Plain (auret insidc . � <br /> ._.__.Sid.•H::Ik w,sher <br /> '__'_'_HosclsibnWside I . <br /> _'...-Hose bi'� (orbciiding purpns'es , '- \ <br /> . . -_-_.Ilusc uih insidc � (! 1 � <br /> l � <br /> "" ___fiib(nrstablccon�aining '_--___""s�alL_'_.___ 1 .` r <br /> i <br /> _.Numhcr of persans in f:unily <br /> _'J_'__Number n(roums in building � \\�' <br /> �� � <br /> .. . _s ._�_ . <br /> I he p�emiscs are tu he used as a_- -_ ' '_'. -_" "" '�"'_"' '"-"' <br /> �. , a- -�` � . <br /> "I'hcnwnernl[heprenuses�s ___""'_"_""_'-_"_"_"--'-_ _-'__"". '. <br /> "I'heagentis '__._'__ ___. __"'_._'___"-"-_ __'__"'_'-._"__"'"-' <br /> '1'his appliwtinn, althuugh signed. sl�all not 6e binding upon the CitY. ��nlil ao <br /> pu J bv "the SuprnntenJenl of th-� Wmir UcV�runurt <br /> 1 � <br /> tii�:ncd ��,f. ���°__ �� .-.APPlicant <br /> � <br /> Ai�rPlrcl ��. �_._.=17i,�' If}_C:.:v !'�" � '"____" -_ <br /> --Sc:•Cm�n;ieni <br /> .�� <br /> i' <br />