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l . , � ->C � ' � ' '_� O �.� <br />. L"" <br />:i. D. Fcr,n a 12J0 .l-I-i] C. R � <br />CITI' OP E�'CRCTT==��'ater Department <br />r'�pp�icataon f�r Wa�ea� <br />.111 bl;ml;s must uc fillcd in nr cros=rd nut <br />Evereu, _.�i. __-3-- ---------- --�-----i�n.�.. <br />7'O THF. SUPERINTHNDGK7' OP T ili \VA'PIiR DIiPAR'PN6N7', <br />CI"I'Y Of IiYliRli7'T: <br />I hereby aPPIy fnr Ihe ��vt ..f a�iter in :iccordana� v:ith Ihe rules znd rrgulm <br />cnru of'i�iie �A'ater Uzp;vinten[. tur piupnses :mci lixtr�res sta�ed 6elow. <br />Uurinq Nie ti�ne th:�t :iny ot LhR wamr m:iins inay Le taken up by reasnn �>( <br />:�m' inlprocentents authnrized by [iie City oI L;ven•ll. in ��r nf auv street oi aliec in <br />�chith Ihey m�iS' heve 6een laid, Uic Ci�v will nnt he required ln lurnfsh a�ater durin7; <br />�he pruqres, oC such imprnvement� m any consumrr n�hns� supplg mac Ihus be cut <br />nIL ur Le liable [or anpr /d;un'ipes (or iL failure su tn dn. <br />ADpticr�lin9 No._'/_d._��"___/_" �% - <br />Rlnik .�..�..r.�-.._ LoL i�C�-�� '__\Jd_�l.����%/� <br />\��.._�i_..7_.�+�'_.�JYkLe� -�--tcV'f.5tret�l <br />�� <br />____....___ . ____"__' ""___'_'_"".__'____'_'___'_____ <br />"Phewod<lubecxeculedLy __��_�' _____"'_ _'_'__' Plumber <br />Siate cizc of lap. �,z �� � <br />. _ . _ _ _"_ PaP to bc inscrted in thc main. � � � � <br />.._._'---'1V'atcrclnset /- -- --' <br />f <br />_ -n:,u, <br />_ _ u���,i <br />.._. .._Ylain fauce[insir: <br />___'__Sidc w:dk washcr <br />. _ _ _"'""..Flos�� bib ou.side <br />-____'_'-lio:e bib !nr Luililing purpnses <br />�Y r.;:: . <br />r,--.`" �` <br />. - ����� � <br />� <br />�� � <br />r � � �' <br />:� � 1��� <br />i �1 M1 <br />i <br />���. :. <� J � . <br />,t <br />�— <br />____"__Hnscbibin;idc �:. ' � .�� <br />_'""""'I3ib(urslahlc�ontaini e.-_._- -. s�:il! . _ �' '_ _ .. . <br />..""___Num6er n( persuns in (amilc . <br />_""'_"'Number o( ruum, in 6uildinq <br />'1'hepremisesaretobeu�.e�iasa_______. _f___ .___ __ _ _.__. <br />"f4e u�rner o( the nmmi�es is ._�'__����/-1�-LL__. _. <br />__.. __ <br />"Chc aFenl is '_'-.""' '. _ <br />...._.____-___ .__-__.._______.______._____ <br />7'his applicaliun. althoug� s;g: ed, shall un� be 6inding upnn thc Cil}'. until ao <br />,-,�ptrd hc'I'hr SaperinlcndenL uf tF.e 1Vnlcr nepxr�ment. <br />Signed'_"__"__"__' _._._"_"" '_"'_'Applic:nri <br />..�'rnied _ . -_____ 1N1 r.. __ .. ._ . __.. . <br />� ,;,;.: ,_ a r <br />