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j— il "I l' . - ' i - ,.. :c, <br />�c. n. r��,��� . �cco .;-�-v c. r. <br />CIZY OF E"`:.�ETT==Water Department <br />Applicatiora foa� Water <br />:AII hlanks must be Glled in nr crossed� <br />liccrell. `"�J. /�__�.___.__-191v..�� <br />� <br />T(1'CHI? Sl'I'IiRIN7'ENUh:N"f f1P'PHL' �A'1'ICR DRPAR'Pn1Y:NT, <br />CI'fY OP Ii98RG7'T: <br />1 hereby npply for the use ut water in accurdance with the rules and regul:i� <br />tinns uf "Chc lVater DeP�rlmsnt. (nr purposes :md p>:tures s[alcd bclow. <br />During [he lime ihat any ;d tl��• wa[er nr.�iu� may be U�ken up by reason o( <br />� np imprnvements authorized ba the City uf I:cmr1�. in or o( an>' �ircet ��r :�Ilcy in <br />whiah they ma1' have been laid. tht City �cil' not be required ln fumish xater durin� <br />ihc progres's of such impmvemrr.[s tu anp �.rnsumer x�hncr sup, ly n�ar Ihus L_ i ut <br />,�r.'. ��r be liable fnr :my ilantigc� inrpils (ailurr .n Io do. <br />Applicntinn Nu.'_�v (" o <br />!— <br />_' "_____'__' <br />Rlnc.k._�_____ _____.Lo _'.__ .._"_._AdJ'._-__ .... .. <br />_ _. . <br />\o._ �.7-sC%�- �!i?�c-.-�.f/�''..Strect <br />b y --,-- <br />-- -- -- - - -- . _--- .. <br />The work to he rzecutcd bY �--��T��— __ Plumbcr <br />5Ltle , ze u( tap. ¢/ <br />_�y7:�p tn be inserle:l in Ihe ntain. -7J /�� e� <br />' _' _� _ _ . R':u e� dnmt <br />-_--�__.R:nh <br />. __ ___ .Urinal � <br />. _.____.Pl:iin faucet inside ' <br />_ __.___Side �calk �c;�sher <br />_ _."'Husc bib outside .. �t��'��_. •'. <br />. -__._-Ilasc bib forbuildin�; purpnsrs j <br />- _____'HnscLibinsiJr . <br />___"___Bibfnrs[ablecm�tafninti_ .._ .scJL'___'__ •f: <br />. /� 1'umbcr uf persun�c in family • <br />"."!..__Number u( rnnms in 6uilding <br />'PhepremisesaretnLeusedasa______________'.___._.______.__.._-_ __... <br />"Phe mm�er n( Ihe Premises is _'__"___'_ <br />._ _. ._"_"_'_"""_.... <br />7'hc aA;cnl is _"_ .. _....-. "__'"__""""' ' _. <br />' _ '_"_'""'_.____'_'___' <br />'fhis :ipplitatinn. al�hough signeJ, shall not Lr binding upon �he Ci�y. until ar- <br />;rplcdhy'1�he5uperiniendci��o(ihrl5'ulr/r �pnnmu� <br />s������i _ __ 1'i'�, l, � � �.y` ----�rnr�,��,� <br />Aom�ned�_ \ J ��'�f-3--_... _.,�---___.. <br />/ ' "f^� .rimrn.:<n �f <br />