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� <br />v;. a Fo���, 4�soo a-i-i:� c. e. . . <br />L'!TV OF E1'ERCTT==tVater Department <br />t��aplacatYon f�r �ater <br />All hlanks must be filled in or cro=_ud out <br />lverett.. _—� .� � , . . <br />..'.- '_"_.__-___'_'_' __."'_'_19I ______ <br />TU '1'l1E SUPGRIY7';iNDIiN"f OP 7'I1Ii W:�T[31t UIiPAli7'bSBK7', <br />Q"CY OP E7GRI'.TT: <br />I herubp apply (or th_ use ol �.valer in areord:mce wi[6 lhe �vles and reF,ul:r <br />ti nr, nf "1'he �Yater UaP=�rtrne:v. tn; purPos-c_v :md fix�ures stated below. <br />DurinG the time that an)' ��f tlic wntar rnaius map be taken up by rcamn u( <br />:inp imprnvements aulhorimd b)' U�c Cil)' ��f licerett, iu oY u( any c�reel nr allep in <br />�.vhich tlmy m'q� have been h�id, the Cit: �vill nnt bc required tn furnich water during <br />�hc pru�ress oi such impr�v_ ments lo any ronsumcr w�hosc suppl�� may Ihus bc cut <br />r�if, nr be li:�blc far anY//dam.i�;c; /�or ite (ailure su to dr,. <br />Applicntion Nn._'/_3%V _"'__ �% ,� <br />ts�nck.-�-!--�/i',• -,--p-io�_y------�-- ,da__it�'s�-��1%iGo <br />. <br />tio.----�.T1^�'_.=eN—�?_ —•�---:��i_. Strect • <br />'fhe�curk:ubeaxecutedbY-_'______"_ _'_'_'-__'_'__"__"" Plumber <br />S�:iic si2c a( tnp. � <br />_�� __Tnp tn La inserted in tLe mair,. . �� ' '' <br />� �� Walrr closet �: ` r- . <br />J .u.�i5 :.�, � r . , `�, , <br />---� --- -urinu� ,q �� . / r'.�4 � �� �� - �'�� . <br />i� t , <br />_-_.__.._Plninfaucetinsidc ,�, � . . ��, . <br />r <br />� - _Sidc �call: �tashcr � r�= �7C�, � <br />_ . _Hosc h�L• uulsWe 'w.�.,(i �'�-- <br />� <br />..__"__.HusebiL(nrbwlJin�pwpnses '��. _ . <br />�: �? .. <br />...._ _"Hosc 6ib ins:dc � <br />''.�,...._. � <br />___'____Clibforstaulecontaining___...._. >t;ill <br />__'_-'_'_NumbcrotDcraunsin(amily . __ <br />__ J _'Number nf roums in huilding <br />"Phe premisea . re to be used as a'_'�__/� _ __ . <br />'fhcawneru(Ihepremisrsis.-__'V./_•.__�_. _ .. <br />.._ ..-. _ .. <br />7'hc al:enl is ."_'__"..... __'___"_ ' . � " <br />-. _..'_""_'"' _________ <br />'I'his app!ica[inn. althaugh :..y �ed. shall nnt be bindin� upon tlie CitY. ❑ntil ac <br />cvpted Uy 1'he Superimendent ut the 1V,yter D� iruuenl. <br />'n.�// <br />Si�;ned'_"___'-.C�-'`_' '_'_ '-' ' '� A >licant / <br />' _""__"" <br />P <br />Acrr �ted ' '— a � �—r <br />.I __ _'i�"`!.�_ "_l�'_.' Ify'.!"_. � ____"_'_._._____ . <br />� ' � _�i� .�:m����.. i�__ <br />��...i,� �� %, /U- �D � iv . <br />