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.. _ i . . . . , . i . !J i. - ] �_ �-- - <br />- . ' <br />... _.. i'cmi a lSGG J-I-17 C. P. <br />:,ITY OF E�'ERCTT==��ater De�artment <br />Ap�licatiorp f�r Watea� <br />All bl:ml:s mus[ Glled in or crucsed yp[ <br />_ _ 3 "� <br />s����u.. — ------ -- --- —��'�v <br />�ro �riit: su��ra���re:��cn�r r• riie tv,��rr_a ur,Fnarnt[:N'r. <br />' 1'7' 0I� G7[iRG7'T: <br />I hcrebv ;�pple (nr the us'e ut �catc� in :iccnrdnnce �sith dte rules and regula- <br />tiuns of "Che AY�iter DeParlm_n[. 6�,r purpuses �nd fixtt�ms slaleJ below. <br />Uuring the time tLaL :mc u( thc wn!cr mains may be Iakcn up 6y reoson uf <br />any intprnvements nuthmized b�� lhe Citg o( licerrlt, in ur nf tmy �t�cet or allrp in <br />which they may hnve becu laid. lhe Citp �eill not 6c required lu fumich a�a[cr aurinK <br />Ihc nro�;ress of such improvtraen[s [n any cansumer whnse supp�V map thus 6c cut <br />n(f. nr bc Iinble (nr any dmm�qcs inr its (:�ilurc w to do. <br />i\pplicntion No.__����_�� _. <br />Rluck __'�___/' 'I.oL'__�'_""'__ 1rid. .__. _ ... <br />_._._. ...__ . . _. <br />���. ��6 �-�--�Y'_._s«<�•� <br />— <br />'Phe�vorkin6eesecutedb)'._'_'_'_"_" _ .._--"._'.___'.___ Plwnber <br />$[:ile ,i[r u� t8j1. <br />_��L"I'ap to be in�cricd in thc main. ---� ��"� <br />'_"_/_. _AVnter du.��t <br />.'_._L__.I3ath <br />.. _ __ .Urinal <br />_._.__.Plxin Lw�ct msidc . <br />_'____Sidc x:ilk �cnsLcr <br />___"__Ilosruibi,utside ' 1 <br />i <br />.._'_'__'_linse bib (nr buildinq purpnses ' <br />� i -: <br />_.. ____'HnscbibinsiJe ; <br />/ <br />_____._Iii6torstablecontaining__._._ _ sL�.L... ._.. <br />_.._r __.Yumbcro(p�rsnnsinfamily � <br />. .G___"Num6cr a( rnnms in buildinl: <br />"I'he premises are ln be used as' a _"_ . __ _. _ . _ _ '. _ _ . . _ <br />_...._ _.._. <br />"Phe uwner o( the premises is _'_"_' _. . _ _... _. _ . . . . _ __'. _ _' _ _ _' _"_ _. <br />'fhc:i�;enf is ."_"""_"""" <br />.'_"'___'____ "_ .'_ "_'_"'___'_"_"'.____- <br />'I'Lis :ipplicalion. ahhough signed, shall nut br bindin�; upnn th�• CitS'. untii ac <br />cepleJ b�� 'Che Superintendcnt o( the �Vnter UrpartJ� ient./�' (� Q <br />Sil;ned-�l�� ✓J__.�'K` ..V�_pb��'���5'.C�PPlicmt <br />Accrpled.. _�___y__.___1'1}-J By� <br />--� ��,. ,� .._____. ._ .. n,�_____ _ <br />�� _ J <br />� � % � , , �ini-�r�.:.�.i <br />