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_'-riS'v /2' l/ !�/i%.' <br />0.'. D. Pcm. 4 IS[0 J-I-17 C. �'. . <br />CfTY Of� CVI:RETT==1�'ater Department <br />Adppiication for WatE�r <br />All blanks mus[ be filled in or crossed ou[ <br />� 1' q <br />GcereU____'_-' .�/.'__'..191�'_ _ <br />"fG 7'I1E SUPI3RIN'CENDL•NT OP "1'lIG WA7'L'R DCPAR7'�IGN"1'. <br />CITY OP E:'EHtiTT: <br />1 herebY apPty fur tlic ire uf ���ater in :�ccord:mce with Ihe rules and refula- <br />ii m: :d The Water UsP,aun_nt. fur pnrposes .+nd fixmres staced belmv. <br />During the tinte Iha[ :my of lhe water mains may be taken up 6V reason nf <br />:fn}' impruvements authorized by thr Cily n[ 13�°erell, in ��r n( anV streel o[ aliey in <br />o•hicS they ut�Y hace been I:�id. the Ci:y will nat be required to IwnisL ��'�.ter iurin� <br />the P"��uress o( such impmcrntents t�� :my consumer w'hose supply may elms be cut <br />af(. ��r bc IiaLlc Cnr anY/ 7�ia/mrities (nr ils fnilure so tu do. <br />APPIic:diunNo._-/.1.-6 �'_" <br />c e <br />����.ck .�li_ Lo�=J--- �p'=---�-y----nad-�--- � -------� <br />_._ . . <br />�--' " -a .___.Strcec <br />\o._ �d/-_l_�7_r_.r�-!/?'c_'w�_.__" <br />) <br />_____. -________ . __._.___..___________.._-__._'_-_. - <br />'fhex�orAtnbeexecutedb)'.'__"'____'____.'.-_--"-- - PF.�.inh��r <br />Et./itq sizc n[ tap. <br />./_2�_'_Tap tu bc inscrtcd in lhe main. .� . •.<� U <br />_______1V::tcrclos�•t . /�. � <br />___.____.[3ath <br />_ _.._._ .Urival <br />_. _.'.__'_Plnin (aucetinsidc <br />. _' _ _ _ _'Sidc u'�ilk e'�shcr <br />_ ' __Ho=c biL outside <br />���.__.__.Hoee bib (ur buildinK Purposes <br />__ __""'Hosc b�b itis:dc _ �� <br />i <br />[3ib(orstaLlecon[aininF-------�-_ stall_.__ .__ \ . <br />..'-�-"--Ndmbrr af persuns in famil}. <br />__ �___Numb��r uf runms in building �,.` <br />"fhc premisr arc l�� Le used as a_-_. "_"-.-'- -_-'_'-.--' -'.-.. <br />Theo���m:rn(thep:emisesis'_'-'-----�__""-.- -_--_.'_' _-'........._-. <br />The::Fentis.___..___ - .. _. ..__ -. � .. -.. <br />'Chis a��plicatinn. although signed, shall nut bc bindin�t up��n thc City, umil :�r. <br />o•pted 6y 7'he Superintendent o( the �Vnler Department. <br />%�� ���fi(��!'Ti�� __ 9ppli<':mt <br />Si�ned_11. . - . _ -'_�' ' - <br />F, w�- _ ' <br />i j <br />Accefted✓�_��._. 1'�'� I3�-� . ............... L <br />. _.i. ri��.u.n:.., / <br />_ �,/ <br />,-- � •_,Z�c{� � �- _ " 7- / n , <br />