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�� <br />� �ti ��� � .�.. <br />� r` � <br />��, r _ .. . � <br />3 , <br />�3 <br />.; <br />: �'-'.:'. - . <br />` „_ -,� - s...� „ _. _.—�y ��/ <br />- ' i� . . . . <br />• W. O"Pc�m 4 I500 d-1-17G. P. <br />CITY OF EVCRE7'T==1�Vater Department <br />� Application for Water <br />:111 blanks must be-fil ed in or crossed oal <br />���� �� <br />Gccrett� �_ 11ir/f� _ .. _191------ <br />TO TI1E SUPERINTGNDIiN'P OF TI ' NATER DGPAIi9'A71:NT. <br />. CI1� OF':YIiRE7'T: <br />� I hcre6y apply fnr thc usc of v:atcr in acmrdancc with thc rulcs nnd reR��l:r <br />' tinns uf '1'he Nater WP�runrnt. tur purpnscs and fi�uves stated bela�c. <br />Uurin� tlie time that anS ��( the water mains may be taken up b5' reason o( <br />anp imPruvemenls authur�zed bc the Cin• ��f liveret[. in or o( an)' sVeM or alley in <br />�vhich U�ey ri�i have becn I��id. the Cilv ���ill not bc rcquired tn lurnish «•�ter during <br />the prngress of such imPrnvements t�� any consumer whose supply ma)' thus be cut <br />n(f, or 6e liable for any JnQm:iges fo�r /ils tailure so tu do. <br />ApplirntinnNo..� .1-�---./____� _ . <br />�3i„��: - -- -- ---�.<,i----- <br />----- <br />%ZG��- �. -- <br />(�,r� ��.t � <br />Nn..��;,��1_ ! i 1.tt,,!_1_�S'.Q_�,.�5-Ic' '_" trect <br />_"___.__-..____' . ___.___".-__.__.'____________-___'___'-' 3'Iumber <br />'1'herrurk Iohe rsecuted by.____..__'_'.__'_.-_____-__'__'___'__- <br />Si:��es, � i,i�. Ac a con;idcr,ii:iou norcof tLis apr,li :ait <br />7 ^03;;C�11�^ t0 �-1.^,CO:li1CC�lOri �1'ti;011i„ :"IO�1PC <br />I',�1' --���'ap to 6e insrri Jt fl;ic�n�!�tCT' DC a03ribnY let� 19°3 ii 'citlo <br />' ____.___���ai�rcloscitc �':ic p'_.po linc i� uot,U}• D:ce:abar let, <br />'- --uaii, 7,923, outn'nod 'oy ::ue.:is of n I�.2.D. from <br />�� ' Urinal ::u'::i].too Ylator Dic'trict, nnd in such <br />d', . ----�--- <br />_______YI,�n ta�,cei �i�iN21� �'lis ap;:licant fur6lior ::Grocc i;o %a},' <br />cest of such di,conaoction to "'� <br />'_Side walk aa51i�4 � V <br />_.__'___ I".0.}:111� ��i1C 8".110. <br />- _ _ _ _ � .. _ llose bib uutside /� _.U, v <br />_____'__.I�losebibf�-buildingpurposes / �/ ��— . <br />. I _ j' : ' �'�' <br />______'Hosc6ibinside �'� .�+�'�i l� •---• <br />� „ �� <br />-„"' .' _ _ I3ib for stablc containinF.1 ` �_ _ . _' _ `t�ill - _ . . _ _ . _'_ _ <br />`.�,' Y _ _ _Numbcr o( Pcrsuns in family � . <br />"�. � �J "Kumbcr u( ronms in buildinK <br />i.��� . .._._.____.____...__.__". <br />� ��rrnuses�rctobcusedas:�___..__-'_-'-__. <br />. �,.;ncra(thcVmmisesis __'__'_._"--_-.-.._-_-___.._._______".__'-. <br />. . �cagentis ___'____...- -___..___'___' ._._.'________"_'._.__"'_____ <br />� "h�s applitatinn, nllhougl� Signcd, sh:J� �IDI bc bindinK upnn the City, unti� ac� <br />�� ,. �d bY Thc Suprrintendenl o the 1Vnt r Ue aru ient. � <br />/� � ����j/1(��Li.G� <br />' Signed_. . _'_.!.___,-_--'_-_-__/_ "__"___'Applicant <br />� -'�-�' ��T �iY• - - -" - �oerintencem ". <br />-', _� � — L— <br />