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r=ii i i✓- i� - , -- . ._ . _ �.- .r - " . . <br />VC. p. Fcrr: � ISCO YI-I' C. P. . . <br />Ci7'1' OF EYEREI'T==Water Depariment <br />Application for Water <br />:\II blanks mnst be idled 'n or crossed � t <br />liccrcll. �_ � D ' _ _. _. 1NL �t� <br />'�'_ _ __/'_'_"_ _' <br />TO'CHE SUPERIN'1'EKUIiN'1' OP'fNli \4ATIiR DI?PAHThiH\T. <br />�:I'1'1' 1)G IiV1iRBTT: <br />1 here6y apP15' for the use uf ��er in :¢enrdnnce with the rules anJ regula- <br />ii�.ru nf l'iie 1Wi[cr Uzpartnr�nt. (ur p_ ,,nses and fi�uves stated bclnw. <br />L��.�rinp tl�c timr ihat nny ui the water mains may be tnken up bY reason oi <br />:inv imProvements auth�rized 6y thr Citp ��( Cverelt. in ur nf ain• s1rte� ur alle�� in <br />�ehich they mav have been IaiJ, d�c Cily o'ill nnt be require�l �u lurnish wnter durin{; . <br />the protiress o( =ueh improrements tn :my consumer whuse suppiy ma>� �hus be cut <br />�d(. nn c� liablc fnr any dmm�gr> Gir ics (ailurr su W do. <br />`syi <br />Applicntinn/N�n.._.._ __ . - /� <br />Bluck .(J�.- _ I.o � �Z. __Add .._ ---.' .. <br />�p / �—= .-_--..Screct <br />\o. �`cf�---`'-- -- ._--"...- �- — <br />___'...__.._..__"_' ' """'""_. _ <br />._ __'_""'_'_"""_"""'_'""__ <br />'I'hc wark In bc rxecutrd bY_--�- _ . . _ _ _--. -- - __ Ylumbcr <br />titnle s/ipi• uf lap. U U <br />% 2.'faP lu bc inserird in lhi main. � �/(`� � <br />� 1Catcr da.rt <br />_._._. Balh <br />..._ .Urinal <br />� � _ _.. . Plain f:wi ut i�.sidr <br />. __..Sidc walk �vasher <br />. . .. _H��sc hiU uutside <br />_ _ _' _ . . _ I lusc bi6 for buildinK Pm P�,=c• � . <br />I <br />..H��se bi6 insidc <br />IliSfurst�ibleconlainin{;...____'_.slr.11.. '--_ � � <br />_'__".__NumLrr n( ncrsnns in f�mil}• <br />. ___Z___--^lumbcr „t runm. in building <br />'fhePremisesarelub��usedas:�.... ____'______"...--._ .-. _ _ _.". <br />'Pheuw•ncrnflhePremisesis""_.-.--"-'-._._.' -'-'_'.-"-.__""'_ <br />'ChcaKent is __. .._.__ ______ _______ __ ____ ____ ____________'__.._.. <br />'I�his :�PPlicatinn, allhough siAned, =hall nnt be bindin�; upon the City, until ao <br />;cpted bp'1'he Superimendent uf the R'nter Uep:u�tinrnl. <br />/ <br />SiRneJ _5.���_�niv+-�.�-. "����.Zf�=t�_Applicant <br />;\ir��Plcd/U /�_' ..7� 14��_ .�'�_ .._ _ " "_'_.__ <br />s:n����,,.,,,c,.,. <br />