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.=. ( ' J � nl 1> ... - . � .• � 1._. <br /> �.- _ U <br /> M. O. Fcrm! 1500 ,1-1-V C.P. <br /> CITV �OF EVERCTT==Water Depar;ment <br /> Axspli�cation for dVater <br /> :111 Llanks mest be filled in nr crossc�I ryit <br /> -�j�_ � y� / <br /> Gvercll�... ._,(/u J__ "' "' " "' ..19��____ <br /> 'PU 'PI1E SUPIiRINTENDIiN7'OP'1'IiG�VA�R DHPARTMEN7', <br /> CIT1'OP Li91{RE7'T: <br /> I hureby app�y (or lhe use o(water in aceordance�rith the rules nnd regula� <br /> ii���= u(The lVa[cr Uupnr�mrnt. (or pnrpnscs and fj��hires sLLLed hciow. <br /> UurinR ���e tirne tl�a[any n(tl;e watcr nmins niny be �aken up by reason u( <br /> :wy imnrnvements authorized by Ihr C;ty uf Eecrrit.in ur of anp strcet ar alleg in <br /> �vhich they mn5' have 6cen Inid. the CiIY �5'ill not be rcquireJ to furtush water during <br /> the pro�;mss n(sudt improveme�is to any cansumcr whnce supplc may lhus be cut <br /> �df, nr bc liahle for any damagcs fur i[s' (ailure so tu dn. <br /> /99 (� <br /> r\pplirntiun No._�/-_��7-_'_"" <br /> Rluck .______'� Lot ' __... __'_."'__. 1Jd_ . _ . <br /> -. ... ..._. ._ <br /> nu._ �, Street <br /> �l/ " " .._... '_"`'_'_""_' <br /> ._"'"..."_'"'_""_" ' """""_"____"_""'__"_"'"_'__"'_"___"_"___"_"" <br /> ThewarAtabcezecoted67'.__._._._______.______.'______..____ Plumber <br /> Stalc sizc a(L'�p. <br /> —.��"Pap tn be inserted in the main. � /LJTr� <br /> . . -�__Watercluset <br /> _. ... _._.I3ath . � <br /> . . .-._ .Urinal . .� . <br /> . ___._Plain (aucet insiJe ..�f� �j�� <br /> -.-___Side a�alk ;casher •' . , � <br /> _ _.-.-"_Ilose biL nulside ��� �(�'� � <br /> .____ _.Hoecbibtnrbuildin '�S! \, <br /> K P�vpnses ..']�_. <br /> . -___- __Hosc Lib insidc i � <br /> _._____...13ibtorstablecontaiuing.__ ___ ._ stall.. _ . <br /> ._�/.__Numberotper;onsinlamiip <br /> ___Z-___Nun:bcr o(ruoms in uuildinq <br /> 'he premises are la be usrd as a___y . _ . , <br /> . _ _. _._._. <br /> �c ax�ncr ��(the premisc:�.is _._�`_.� � � ��. <br /> -, ._ . . ._ _ _. ______._. <br /> - 'I Le aBrnt is ___'_- _"- . --�/ • <br /> -_ _____"_"_ . "'__"_"_'_'"_"__".________'__" <br /> ihis :�pplicatinn.although nigncd,shall not he hinding upon the CiIY, imtil ac- <br /> •���t�d i�)' 1'hc Superiniendeut n!tl�e 1Vnter Deparnnent. <br /> � Si�;ned _/.!_.,fY['.�_G�4-�j�-y__j_'__"____APplicant � : <br /> i <br /> crcp�eJ_�' .�L,... .� / I3���. . �/ <br /> _ '.___'__ '__'__ .. <br /> / -e.r�-i,.,ixr.�...i <br />