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, �-/YI U"J. _, t ,. , � <br /> ,.. .-�. Fr.m � ':�.JO ::.61�G F. � . <br /> CITY 0!� E1'ER�TT=-Water Qepartmenf � <br /> t��P�flC�i�FUTI for Water <br /> :11I 61anLs must bc filled 'i nr cros=cd oi <br /> 1?rerett. �_C D ' _'____'19d'"_-y <br /> 'PO 7'fIN SUPIiRItiI�I{NUIiN7'OF"CI{I±\VAT�R DIiPAKTh1EV1'. <br /> CI'I'1' qP li`;ER1iTT: <br /> 1 Lrreby epply (ur the use ni waler in axordance��•ith tl�e rules nnd re�;ula- <br /> ti�.�n:o(The Water 6epartmant. (or purpnsrs ar.d tixtures stated 6eto�c. <br /> Uurinq the time tltat �my ui Ihe�cater mains m�r br I:iken uP 6y reason n( <br /> :�n�; improveinents authnrizrd b�� [iic City ot Iieere�L fn nr u( nn)' slrcet nr alle:' in <br /> �.chicii they m�p have been h�id. �he Citc will nut bi�. required lu lurnish x�aler durinp <br /> nc�pro,qress of such improcemenls lo:ulY cons'ur•ier ���huae suppl)• m.�y Ihus br cut <br /> �di, nr bc 1in61e fnr an�y Jdama�;cs (ur ils failurr:;u to do. <br /> ::pnlicn[inn Nn._.l_�ir9J' __ <br /> / • <br /> 131oc1; "_.---�_r.� )I..Y�n["�_'"_"- � ____ AJd._._.. <br /> \u._��0� ./�u/L�C��_�__ ..Street . ._. _._.._ . <br /> . ______________' ._.__._.____-. <br /> ) ..__""_. ' �_'..__ ..�._._ �'lumbcr <br /> '1'he�cnrk In be ezeculed b� . .__ <br /> �c �i�ot tap. <br /> � �•r,� i�� be insurt�d in Oic main. � <br /> _'- �'_1Yater claset _. � _ • <br /> ._._ . .B:rth <br /> _. . .Urinal <br /> _ .. _ Plnin faucrtinvidc <br /> _.__Side wnik �cashcr <br /> . _Ilnse bi6 nutsidc <br /> -. .. . Hose hih (��rbuildinK pwpuses ' „ <br /> .. . _ }Sus-c bib insidc ( /� <br /> _._- -..Rib(orstablecontaining......_.___scall-_..__. \�... <br /> - Num6cr u(persuns in family � -.'�", <br /> �. <br /> -_-'�'NwnAer uf ronn:z in building <br /> . �I'he premisrx are�n bc used as:.'_""""____'__"_' <br /> ""_ _. _ <br /> _ _._"' <br /> �Phr mencr nf thc premi�r. is """_ <br /> ____'__'_ '_ _'_'_'___._____"__. <br /> The aHem is . ____ ... .. <br /> l�his applicatimt, nlihounh siF�ted, sL:dl not bc bindinq upou �hc City, unlil nc� <br /> n'p�ad hp"fhe SuP�'rintendent u(the �Y 6r Ueparimen� <br /> SiKned _ _ -- ' "'_Applirant <br /> ,.. _..__ __ . Q'�__...�__'_' <br /> :lerrplyd�� _�.� IL"'�e'._ Ite /�/ __._. __"_. .-_ I���• <br /> �'"" �_.. .... r:..�...,,,ri e'' <br /> � <br />