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•N\CJ.''.1.{ iSID]-I-I'/C.P. , <br />CIT1' OF EVLRCTT==�i�ater Department <br />Application for Wa4er <br />i�ll blanks must 6e filled in ��r cro-sed rnrt \ <br />�. � <br />,�.�r.��> _/G___.- ,���. <br />r:vcrcu. - - <br />TU"CH�SI1Pi?FIA''I'IiVUIiN"I'OF;1'1 ' 1;\TERUFPARTr11iN1', <br />CI9 � OP G+IiRE7'1': <br />1 herehy appl>' fur thr. use o( �cater in nrmrJance ��'iih lhe rulrs and regula� <br />tio.is uf 'Phe Natcr Departnr_nt, fnr purp�»es and fiztures stalcd hclow. <br />Uurinl: the time Ihat an)' ��f the ��'��er maius mnp be taken up b)• rcason ��f <br />:mc improveinenis authorized by the Cit> �d livereu, in or ��( an)' sireet or alley in <br />���hicli they m�1' h�ve heen laid. the Ciry ��•�11 �mt bc required tu lurnish walrr durini• <br />the prnKress nf such inlProcemenl� In �inY consumer W�hose supply map (eus be cut <br />nf(, nr be liablc fur an)' dam�ja�;cs for its (a�ihire so tn dn. <br />ApP�icn�inn No._ � L- %'C.%"'_-' <br />��� Lot_""_'?:._'______'Add .___ ._'____. .. <br />Bln.k -/_' _' ._ . __ _ <br />Vu._�c�_U -�_-_..J7/-�--L�--.'______ - � .Strcc1 <br />� � __ <br />.._.. _..._ <br />____ . .____-_ . <br />.__.'__-__._..__.____._______ _ <br />'Phr �anrk lu bc r�ctuted b>' ."--' "__"_' '.. ... <br />___. __..__ Plumber <br />5tatc.vy ��(t�p. o 0 <br />i/ � /� � <br />. . Jf'_'Pap to be incerted in Ihe main. <br />_..� _11':ucrclnsct <br />. _. _�_ _. Balii <br />- ...__ .Urinal <br />/ <br />.�'__Pl�in l�cu��:t insidc <br />. __ ._Sidc �vnik «�ashcr <br />. . _. -_�. _Ho>r Li'� �misidc . <br />_Hoec L,6 (or buildin�; purpu=c> <br />__..__ l <br />_. _'_'_linsc6ibinsidc 1 ,. <br />_liibtorstablc.:milaininy;.—. .-. - stall_. _�;'- <br />�_-_ wnber ef persnns in famfly . <br />. . _�umber of rnnm• in buildin6 /�. <br />l'he Premises arc ta Lr used as a_��-. �' c" "%-c�'-' .' _.. _ � <br />(� -�� La �JQGvC'�G . <br />"Phe m�•nernf Ihe Premise. is ...__ ..' ...... .. .......' <br />� � .'___U__._-_ <br />'CLca6eniis '-_-_... ..._'_'_'_.. <br />'fL�s ;�pplication.:dlhuuKh signeJ. shall nnt bc bindinF upon Uic Ciry'. until ac- <br />. ! hc'I�.u' Superinte�:lrni ��f thc 1Vntcr Uep'u'tment. <br />��� �^ � ��._� �Appli� nt <br />..iKned _'_f�✓G/�'�- � / / <br />�-/lp_-_2� �i>• ':' -%�v� ��;���::,, <br />. 7-== _ - <br />