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,_..� , ,� • - ' . ., � . /— �v � �. Gp _�z � � � <br />` ;:. D. Fcnn i I 500 J-1- I] C. P. • <br />CITY OF EVERCTT==�i�ater Department <br />1��}�lication for VVater <br />e\II blanks must be fillcd in nr uosseJ uut <br />]iccrett, _— /l�/Q.________'1'JT'�' <br />"CU 7'l1E SUNI3RIN1'L'NDIiN7' OP TIIG \VA'PGR UEI'ART�IEN'f, <br />CI'PY OG G`/IiRE7"P: <br />I herehy apply fnr the ose o( waler in :iaurdance ���itlt the rules and reKula- <br />�i�in; ut 1'he Nater Uep:vtm�nt, (or purposes ;md fisni.es stated bclow. <br />During the lime �hat any nf �he water mains mnp 6e taken up by reason of <br />:!n>' impruven:en[s authari::ed hp i.he City of liverclt, in ur n( anv strcM nr allc�� i� <br />which they uriy h;�ve bcen laid, the Cily ��'ill nu[ bc re;�uired ta furnish water dm'ing <br />ehu proqress of sudi improvrments lo anY c.mswner w6ose suppip may �Ims 6e cut <br />nt(, or Ue 1ia61e for any darr,agi•s (or its (ailure so to du. <br />Applicntiun No." �% �'_' ' �__'__ / <br />Rluck _�"_'__ _ _LoL.�����___'_"_Add_l_�G�.c,/...-.J_�(..^-f� <br />ti�,. �.,�-e--�2Lu�.e,� -�(21u-wi-� - s««� C3v �} <br />-_.'_' __'.._..__ _" ' _'__'Y'_,/,___;_-'.-y.—_'-_'_'_�.__�-___"'_'_____'_...'__"' <br />'I'he wur4. In be execu[eel b. LV,P,3�—v--tJ-.+uL,. ___..... __._ Plumber <br />5[1lc sim uf tap. <br />i� <br />��-.'-' ���p to be inserted in lhe main. �� U U <br />�-- <br />. _'��____N:ucrduset <br />.. _.�_._.I3ath <br />_.`.�- _Urinal <br />--�'�_`_.—.Plain (:mcet insidc <br />.. _=_Side walk �vasher 1 <br />_ �� H se bib uutside � <br />._________13ose 6ib Cor building piirpases <br />..�-----Husc bi6 insidc � <br />_`_ __IiiLforstablecontaining__..._ .t:dl_.. <br />. ___Nwnberof persuns ir f:unily . . _. <br />__�____NumLer of ronms in building - <br />'fhepremisesaretn6cusedasa___'. ._' _"____'.._ _ .____'e"_. <br />"i hc owncr a( thc premises is �'_�S_�ylt.L. . _ . _._ .. _ _ <br />Thc.-vent is . ___ / <br />"____."_ ' _'___'_' ' . .._/ _.._/F_'__ ' _.'__'_' <br />fhis :ipplication. altho��l:h : ic . s n I n i 6 i� i iy; upu th� ('ilY. until ao <br />��u �oy The Supuriniendnn �� <� <br />Signed _._ - ���� � � _ _ � � ApPlicant <br />// <br />ArcePted ._ .__."__��_191 Ry__F� i � <br />� v i.�..r,.i" <br />