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.,. J.'rcu'.�. . ISGO::-:-1]C.P. <br />C9Tl' OF �1'ERCTT==11�ater Departme�i. <br />t�pp�lacataoxi �'or �7Vate�° <br />.411 blanks must be filled in � cr��=°�d ��i+t <br />F.verett.._.___ .__/. Jy��_"' __..✓�____191?�._ <br />— — (/ _ . • <br />'I-Q 'CNIi SUPIiRIN7'GD!D8N7' OP 9116 N�1TIiR U�ePAR"T:�fGI�'1�. <br />CPfl' Uf f7GRETT: <br />1 here6y :ry, ly for the iue ��f w:ner in :iccordanre with ihe ruies .md rrgula� <br />ti.v�: of l'hc \Va[er lltparintnt, (ra P�rpau. :md (rturcs stated below. <br />Uurinq dtc tlme tha[ anv oi the water mains m:�y ,� taken uP L}' rcason u( <br />an)� imnruvcments authorized b� Ihe C.t}� �d Gvcrr�t, in or o( nny sKcet ur aI1cS in <br />�.chich [hev mav 6;rve been I;�id, lhe City a'ill nut 6e rom.�irrd lo fumich wa[er dtn'ing <br />�h�� progress n( such imProvr�nents tn :��iY consu, ier w'hr_e suDply maY ihus be cu[ <br />���(. ur be liahle (or :mp dnmo�¢7es fur its O�ilure s-n ;u du. <br />Applicn[inn Ko.__'� ? �___-__ <br />q ___. �/ <br />Rlud: ___"/-._' _'___LoL_�} L� 1f"� �.dd ._ _'_' ___ __ <br />(/ _ <br />_ <br />>:��._ �s.oG_ a�'s.�-�-�-«-.P,--,s««� <br />--- - -- <br />- - ----- - - ---- ------ - -- <br />"I'hu �vurk to be cseculed LY. __---'____."". _'_-'_--____.__--__-' Plum6er <br />0 <br />S�atesizruf[ap. '`;��1 ,� <br />i �. __ , f <br />__�i/__ CeP to bc insertrd in tlic main.�— � r.�- <br />-; <br />�� <br />� �J% r <br />"___ � _ AValer cluset ? .( . �.�� ..- <br />'_' /-_.I3ath � Q� � � � �/, : . <br />�i � ' <, . �i; �. � <br />—�----- .Urinal �� :V a � ,.:. . / ���!�. <br />-..____ __Plain faucct iusidc ��`���. . . . <br />"_'_'Side walk'vasher ���`:. `\C` . <br />�� �,^2�.., 6 . <br />_ '__'"._HuscUibuutsidc \� . <br />. _'_""Hnvc bib (or building Durposcs �.� '. �' . <br />___'_"Nosc bib insidc � . <br />.____.___I3ib(.�rstablccontaining___. .. =_tall . .._._ <br />_'_ '_Numbrro(ycrsunsinfmuil>' <br />i <br />_ ...J_'_'Numbcr �d raums in buildin�; <br />l'hePremises:u'e�nbcu.edes.:.._. .____"_....__.._ .._._- '_ _.... <br />'Chcownerofthepremisesis___..-___._._ ___.______.----.-_.--.._. <br />TheaFentis."_'__ '____'..._"""_____'_"'___'-.__-'____" <br />'Chis npplicatiun. allhough ,igned, shall not hc binJing upon thc City. ❑ntil ac� <br />��rPted by The Superintendent u( the 1Vnt epartn • iL � <br />r <br />S/igned_ .__'._________--`_.- _-_ -;/.__ . �PPlicant � <br />Aiceplcd.. _`�.-_p4f 5 �/._. . <br />______1!��% B _ _ ____ _ _______ __ <br />J . ��r��e,.r.:.-.i <br />.. (� � . . �J- �( '_ ' -� ' ' .- <br />