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: ��_i j=c�- . I n- • r - z � �. � L i� - <br />t'i.l),I'cnn<-1SOU—E.PCo: -'u-:f.-^J <br />5�.�`�.lJ�� ' . i . � <br />City of E��rer.t--�`U�tei� D�partment <br />P�PPLICATION FOR WATER <br />.411 bl;mks u�ust C,c filled in or crossed oct <br />�eG'Citr............�/"�� G/ ......................l:l^_...... <br />TO TIIL SJI'EP.1NTlNilliNT OP THF� lF:1TPli DEPN�1'idEi�T: <br />C1TY' OP IS r.PE'PT: <br />I he�ei�y:mpig Cur the use ai �rale� in :scmd;aue ��'ith tlic c�.lcs ancl regu- <br />!:itiuns oC lhc 1Pntcr Depr.rtmeut, ;or pmpu:cs and fis w�r:; �t:ded bc]o�c. <br />Durin�* thc timc that any of the tca;er mnins mn}' he L•�keu up bg r.�ason <br />oL nny- imprm�mnmtts nuthcri;,ed bp tlie Ci.c of Pecre�.t. in ur ot n:iy strecl or <br />clleg in n•hirh tlie�• may ha�•c bcen laid, LLe City ��ill uut bc rrr,uirai to S�rni:;h <br />�v:=t!�r dm'in; H�e protiress of such in;�n�acemeuts ta nny cansumer whose su�>lp <br />m:�y 'l:aa bc a�ri ot[, o`r be liablc fnr nny damngcs for its fnilure so to do. <br />Applicnlinn No..d..Q.� ��� <br />. �.. .........__.... <br />Blud:..._ ..........:........_...:........_ I.ot...._/�..... .._ ......_...... Add.. .�.:..'�. '..,... <br />/� /� __. ..._.... <br />No...�..�..�.�.... �://�.�iCI�:�C�.Q.�... SMcet <br />.. . . ._ ....... . ............. ...... _ . .........._ ._ _.._ . . .._ _..__...... <br />Thc �rorlc to bc c:ecuted by . . _. +-a-/� .. ...Plumber <br />State size of Lnp. <br />_f2,._..Tnp to Uc inset:ed in tLe main. <br />_. /_._.....1\'n'cr dr.se` <br />....X........Cntli , <br />__X.......Urinnl <br />� <br />._�....._.Pir.iu faucct insidc . �� : ^ <br />....,X.......Side �ralk �rnshcr �-„�.- <br />._..�........Hosc bib oulside ��_i' <br />...�Aose bib for L�ilding purpue.es r- � <br />....._ � G C <br />. .. iio,c LiU inside ...... �� \ <br />,�...... <br />.._�y_.... lliL for sluUlc conlnininq .............._....stall............. <br />...q..........rumbcr of persons in faniily <br />� _....rumh�,r o[ rooms m b�aildin� <br />TLc p�emi:es nre ta bc used ns n. �.LQ�,-(, <br />. ....... .. <br />'P1;e o«�ncr :�[ the reciises i .�La.� _ � . . . <br />. p ..'� _.c�..�... . ....... <br />ThcugcnC is .. ....... .... . _..__..._. . ........... . ........_.. <br />. .. ... ........... <br />This npplication, idHiough eifined, ehall not Ue binding upon tLc Cily, until <br />cnecpted by thc Superintendcnt of �he \Vu�cr Deparhuent. <br />Signed_ �.j�.�.,�� <br />Arceptcl ._..yJ,..r...._ . � ..l1.��1.1J <br />� 7'_ <br />