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. . t�.,/�d � ,c :�a -..1 <br />n'. D. :�,�t a ..., 3-i- I 1 r. R � <br />CITY Or �l�E►�CT�T==Wate; Depa�•tment <br />�pp�lair.a�.�orx �'o� �ater <br />dll hlanl:, mi.si be filled in or etus.ed uul <br />— / <br />Gveret I.. _ . ��[,CL. 2_6. _ _ .191 �'iI <br />7'�1 'PIIE SUPIiHINTI3ND1i:V'I' OP �i�IIF: NATiiR GEP !;7'�1GNT. . <br />crrr or rvr�zri r: <br />1 herehl':�pply (or �he use o( �cater in :iaord:mi��• o�idi the rules :ind :cl:�:I:�� <br />ri.,n, �d Tha Water DaP;�n�n_nt. for perposes :md fixtures stnted belrnv. <br />Uurinq ihe timr. ihat :my uf tl�.e �rater mains mar b,� nil:en up bY re:�snn ni <br />:in)' imoravemen[s au[horizcA bc thi• Ci�}� o( gv�rett. in or o( any struut ur :dlc}' in <br />'n'hich thcy m.�Y havc becr, laid, the City �rill not hc required tn (urmsh nalcr during <br />ilc pruGres', nf such intprovcinenls' to eny consumer �vhnse supply may Ihus 6c cu� <br />�,ii. ��n c� li:iblc fot:my dam:y;�cys for iG (.iilure s-o to do. <br />ADplicntion Nu._.�_� d �. <br />L'i��c6 . ' � �l . . <br />�'-- L��� � G _ ._ —.,�aa�% -- -��A��ii-� /^z'_ <br />.,, .�y�/- s«��.� <br />_ __ �3�]j ,ZI � J - _ -- <br />�I'he ��nr6 tr be ez nitrd by .. _ / � �%_ � • <br />C... r..zm-t_. � wmLrr <br />SLitc Size nf t�p. <br />j �1 <br />;-�j�-_-__ Pap to be insrrted in the main. <br />_'`.. �)._.l1'atcrdnsel <br />. __./._.:l:rth <br />-. _-_ .Urinal <br />-_ _ . _Pl:iin fauect insiJe <br />. ___..__Side waik wnsl�er _ . . . <br />-----._Hn,e6ibuutside �� . <br />_-_.. __ Rnse bib fnr huilding purpo•�es . <br />.. _ _ Huse 6i6 inside <br />--'___"13ib(orslablecantaininK.__._"".. sWll . <br />- ___Numbero(persunsiufamily -_.� <br />-ti�.__Num6er of ruomr. in buildin� <br />"I'he premisrs are to u used as a.. .. _�Ci __. _ <br />_ <br />The owner of lhe Prei�tisrs is _'_' _ <br />'____'." . . <br />Thcagentis.___ - - ....-.._._. <br />This applicntinn, alihough signed, shall not be bindin �-��....�"�" �"�"��'�"� <br />!, upon [he Ciq�, until ac. <br />ceptrd hy The Superiniendent o( ihe \V DepartmenL � <br />r" � ;���- � <br />��„��i. �— __< , <br />� -_' — � � n�,�>r�:� c <br />, <br />n�,���i,<<:rtr- _ ��n- *� . <br />-.. . .- Hy'_'- '_' <br />� C� � _�. �:n,.�,.__� _ . <br />