Laserfiche WebLink
m,p.r�„�a is:o:�-i-nc.�. <br />CITV OF EV'ERCTT==Water Depar�ment <br />f�pp�licatio� f�r Wa�er <br />All blanks must bc filled m ar crnssed ,� t <br />-�� C-/ s�[.- <br />liverett.-.--- ... --------_19Y_- �--- <br />�_' _ _' _'. <br />/ <br />'fU 'CHE SUPIiRI�17'ENll1iN'1' OF 9'HI �NA1'ER DL•'PARTNGI�.T. <br />CI"f\' OP G9GRF,TT: <br />I h�reby �iPPb' tnr the use o; woter in aaordacce ��viU� ihe rules and regiJ:i� <br />tl��ns nf 'Che'l'.aer U_p�rimrnt. L;r purpuses an:l Gxtures state <1 6elo�c. <br />Dur�ng [he time iha: ;�ny ��i the wamr nc�ins may be tnken up by reason u( <br />:�p\' ill101�lv1 nll'nl5 .luth0(i'J.Ct1 I)\' tilc C11�' ��( �%�'«elt� ill O! n( Lp\' SIfCI`t ui 811f)' i❑ <br />�.��hith they c�al' have been laid. ILe City a'ill nnt Ue requireJ lo 'urnizh x'ater durinR <br />the Prngress af such impruveinents U� any ����swner ��: ho�e supPlv m:�}' Ihus he cut <br />n(f. ur bc li�ble fnr any dar�}� 's G�r ils Ciilure sn ln du. <br />/ / <br />APplicntion NJn.�. /�u'_'n____" �7 <br />131ack ____.!-_! � Ln .____ _ !__.._____Ad�l .. ._.. _..____ ._. <br />_ __.-_ <br />e�l � � S'. _.____Strcct <br />\n.._"_ _."_ <br />"__ '_' """_"" <br />" '_" <br />__.. .___"' <br />. _._..'_'___'.'_"'_._'_"_" _"__'_"'_'_'_" <br />"f he wnrk ln be executed bY _' _' -'. _ _"' _ ' - - _' ' - - <br />.._._.____.__ PWm er <br />State si/zr ��t i:ip. /// <br />_ �/_Yfap lo be in5eried in the mau�• ��% �°� � <br />� ht. � \ <br />-----�. --N:ncr d��se� <br />'__'_�_..Bath �.� . <br />Urinal <br />_ _..-�-Pl:�in (aucci insidc <br />.___�� S+de'�alk�"stM1r <br />_ �'-llusc bib uutsidc <br />_ _ _' _ _ __'Hme-frib fnrbnildmx ;wM��Y <br />_ _ - _' _ jlucn-b'tHimidc� � � <br />__"__liibior»txi�le�cotatainicJ:—_.-....-. sLJI..- --__. <br />_Numbcr u( Pcrsnns in family �_. <br />��_`S� Num��er o[ ruoms in building <br />"Lhe Premisrs:irc to be used as a�.. .._. - .--. - ....-.. <br />__��_ _ ._... . . <br />The nwner o( the premises is �-�- - <br />'Che aGent is..___.__.__._._ �:,/._ ____.____ . _ ___________________. _. .. _ <br />'Chis ajiplicatian, al[huu�;h sipned, shall nol be bindinS upnn the City. vntil :io <br />,-eplcJ b)''Che Superintendent u 1Vider UtpariLicn[. <br />r / <br />�� Y ,• � <br />SiKn:d____ � `'._.__,� _..c—�z,- ___ ApPlii�.mt <br />- , l ��/' <br />„>.� � <br />:,<<<.,,i�.� _--y - � �, �� %� �,-r-<,;:-:�..�;:;:�..� <br />C �- , <br />