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FL'1,��. -�� Enr7� =_�s-; •; —,, � <br />���. o, r���m 4 I500 J-I-17 C. P. <br />CITV OF EVERCTT==!'Vater De�artment <br />Ap�plicati�n for Wat�er <br />dll bliN<s must be f Ile' m or crossed uur �/� <br />Gvcrol�.--=___�""'__"_.. "____..__19Y.L__.� <br />� <br />TU 'CIIIC SiJPIiNINTINDGN7' 01� THE lVA7'lili llEPART:�]ENT, <br />� CI'1'Y OP I•:YE2IiTT: <br />1 hereby apply (nr the use nf water m accord.ince witli the rules and rcf�ula- <br />�inn: of "Che '�Vater D:par[m�:nt, for purpos�5 and fixturcs stated beluw. <br />During Ihe time lha[ any nf the water mai�s may be taken up by reason of <br />any improvements authuriud bc the Ciq� of Iiverctt, in nr of any strcet nr ;dley in <br />whid� they ma1' ����� �een laid, Ihe Ciq� n�ill not 6e required to furnish a�ater durine <br />the pro�ress of such improvements to an�� ronsumer whose supply may thua he cu[ <br />nfC, or be liable far any dam:iqes [nr its ft;ilure so to do. <br />� I : <br />APPlicntionNu.' "._"_. `� •. <br />""""'__ ', .. . <br />� . . . :_ ' <br />Hlack-._ ____'r-��_"'Lo["_ " A�id . _________.. <br />, <br />p-_-____'___._ <br />._.\n.___�y0__ �_._'_ '_ _'_________._"..�t�cet . . <br />. __"_...___ ' "___"_'-_ -_"_"__/"�'_"' _-____".'_'_"____ <br />'fhe wnd: m 6c excculed bY__.____"""(/_�-"?-`"_'_�_. __ Flumbcr <br />SL�te sj¢��f tap. '_ � o, <br />_...J�j fap to be. inserted in Ihe main. ��' /� � <br />_._ �.___Watcr clnset <br />.__- �__.I3ath <br />.__ .___ .L'rinal <br />-__ T�Plain Fmcet inside <br />. . _ _ _ _ _ _ _ _Side�kZC3sl��i� <br />. - _' _ �_ .' Hose bih nu[side <br />_"__'__'71 w mg pmpo�as-� <br />_ _ _ _ _ _ _ _ _ HascbitrinSMC—� I <br />. __Bilr(orSF.i�el�[auun __"'_' "_stalL"""_'_ � <br />_-__.._.__NumberofP�rsonsintamily i� <br />-_ `�_^'_Nwnber of rooms in building �.; <br />'1'he premises are to be uscd as a_._..__._____ ..___'__________________ ______ <br />1'he owner ut the premises is _____. __.._ ___ _..__________________'__..__. <br />Thc aKunL is..________ __.. _____________ <br />.__.._.___-__"__.._________._ <br />This application. althouKh signed, sh:ill not be binding upon [h� CitY. ��ntil ae <br />'rd by The Supecint ert�o � Nn •riTe•p��r(ment. (� <br />Sig � ._-7��.�fy� __ A��y�l�cnnt j� <br />�. �_ ��_'it V IitG�� ;,�`5��� } . _,"� � ...,--_ I <br />� 2-= ^� ;.nm. : <br />