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, , , , � . - � � � , <br /> F�„n- �- 3 `�" � � <br /> •,4. D. Fmin 1 ISCO 5-1-17 C.P. <br /> CITY OF E��ERE'�T==Water Department <br /> A.pplic�►taor� for Wa,ter <br /> .111 blanks must bc filled in or crosscd out <br /> — l ���---.?��-_ � <br /> _— <br /> rvcre�c.------------ ----�--- - <br /> Tp THE SUYBl21NT6NDI�N'�� Cf'1'1''Of E`lI'.RI�T I�AR' 'iGNT� <br /> I hereb>':+pPly (�r thc use��(��'�ccr in accordancc��'ilh thc rul«�n`rcasnn,u( <br /> ii�.�n;��E I)�arinu�thc t���ic diac�u�c�i�the ve[er�m��uis[maq be ta�kcn'uP bY <br /> .�ne im?rm'cments auth�rized bc11`x`��`�"ill nNrbv requi ed lo fumivh�w•.ler�durin{: <br /> rvhich thc9 ���''S havc bcen laid, t <br /> the 1 r be�liable fur'�inY d�m�iS�n(<r its`tuiliveyno�ta Johuse suPply may thus be cu <br /> ��ii, � <br /> �--��y----- <br /> :\DPI icntinn No._'_ __._._.._.__- � <br /> - �� , �' F �_"' \dJ'__'__ t <br /> 61utk °� --"-"- <br /> — —` <br /> .__./."�.._ <br /> � ��y���.,_'___Strect <br /> No._."_.�_���-. C� <br /> -------- <br /> �------------/__�_ -.-_- <br /> ----�--'-----'-' ' <br /> -_"-_._.-- _._'_ Plumbcr <br /> 'fhc �a+d: tnbccxccutcd )'--�---�--'-----' <br /> '— - <br /> Stalc/s y".c��f tap• / <br /> �/�—Tap tn 6c inserted in the main. — L,U <br /> / , � 2 =�S <br /> ---' [..--R'atcrdnscl --. <br /> .__.�..__Balh <br /> � .Urinal • <br /> _..`____Plain (:�ucet insidc <br /> _ '__Side����lk�vashcr . � <br /> f_._Ilosc 6i6 out.idc <br /> _____.._Ilosebih (urbuildingP��rpn<c9 . � <br /> � -- _.Hosc 6ib insidc � <br /> _� g.'_' .'_stall___.'-. <br /> - , _'._'_Bih for slaUlc coutainin <br /> �_"huml�er of persnns in f.mily <br /> _. �___'N umhcr uf ronma iu huilding ._._. <br /> � <br /> '1'hc pcemises are to be used ac a_ - •..Co•.�_.'.._-__-._..__' - <br /> �j/' <br /> Thco�eucrofUicPrcmisesis _ . � ��L�l/�]4GoG.________'__._'____.-_. <br /> "fhcaHent is_'__-_�_... . ._'.'��___'�/____._._."."'_'__________.__. <br /> 'Phis :�pPlication,nithouRh signed, shall not be bindinF upon the City� until ac <br /> ;epted 6y"I'he Superintcndcnt o(tho Nnter Departuient. <br /> ___.'_ <br /> ppplitanl <br /> . � <br /> Signedh-��-. _._f_. � <br /> . . . - <br /> t t liy - � � �-Sur•Mmooa•m <br /> "_"'"'_"__" <br /> Acceptrd_ _�.--��-,/ --'�f� �y/�,� -�+ <br /> . _�—_ " <br />