Laserfiche WebLink
. . .. � � /=-..17-_L) � _ �.�i r <br />k�- q Furi .e IEGO 3—;. ' ' Z-- � � � <br />IJC.P. <br />CITY OF Gl'ERCTT==11�ater Department <br />�Pplication for �Va�er <br />. :AII hlanks m�i�t �i, filled in or rru�.i.<7 ����I <br />_— / <br />liccrcll... _ _" b/� <br />T�) THE SUPBHIN7'liNUli.y"1' OR 7'HI? \V:17'T:R U@PAN7'AfE�"�', . .1���' 2. <br />C17'1' pF E71iRlil'T: <br />r n�n,i,>• ,nni> r�,� n,� usc u! ua�i•r in :iceordance a ith thc i ulrs : <br />�"�n; nf Thr 15'a;cr llepar[nt�nt. for paipns�v nnd fiztures s�ated bclm��. <br />Uurint Ihc lime tl�at anp u! Ihr �va�cr inains mar bo takcn u � 6�nJ r�.eul:i. <br />:iny iinpruvements authorixed by� <br />a�hich Ihey ini3' havr becn laid, ihe Cify �eill not bc requirnd lo furnish �caicr durinp <br />Uie Cily �d iiverrtt� in or n( anr s� f�ena�u u( <br />tl�e prn�;ress nf such iinprovcwenis In : trce[ �r allr�� in <br />��((. nr bc liablc (or :iny danr�;�cs l��r iL. L�ilurc���� �1,� �,hnsc su <br />PPIy may ihu� bo rni <br />�lpplicntinn Nn.._� 02 <br />..e"__'�Q �- <br />Rlnck . � �% �'% . � ... <br />_ __.Lni _..�.�_ <br />\n.____aJ �.2s �J - . ..___ Add_.___ . . <br />. � -��---..Strcet <br />' -4_-�L�-o-vt <br />.._ . . _ . _..--_-_. <br />7'heworklnbersecutedbv .. ..�..�.--'__'_ <br />____ <br />___ <br />titatesizeoftap. � .._�_.-__��'�Q�.d�l��- J^� --. <br />U 0 "`'�I�/bcr <br />.'___ i �� Ya_ <br />�"___Tap �o be inserted in thr main. '�� <br />. _ ._.._1Catcr clnsrl �I <br />� - . -[3ath � <br />� /- �. iC'� _--. <br />Urinil /��,�j � ,. ,_ � <br />A ti <br />� - Plain laucct insfdr� <br />. - Sidc walk ��:isLi.r <br />� . _Hosc biboutsidr <br />'--"--._Hase bib fnr Luil�!fny. ��t�i�„�.i,� <br />' • � ___..-.8osc bib insidc <br />, - --"—._'_Ribforslabkconlaininq_..._ <br />Number n( perauns in family .... >bill ... <br />.---.--...Numbcr of mnms in building • <br />Phe prii�����,ti gre tu be used as a, <br />_'.: <br />.. ?'hcu�cnrru .-'_'_' <br />( the prentises is .. ' . . . . . .. - . <br />_._ <br />7'hc aGent is ___. ...' _.. _ . _ <br />This �pplii�atinq:dihoughsi, �_._________ ______ ____.___'__ .___-. <br />�''Pted by The Su crinlendent ��ncd. shall nuf bc binding upon the Ci[ . -. . _ <br />�n R'.i rr U�v �an�mrnt //J S unfil :ic. <br />SiKned _ _ _ � / i�/�'���2��27'u�` <br />/ � ��`—�! <br />A��r-�pird .. . ir- _. / .....:lppiir::ni ' <br />s � �I I�f��! ' __ <br />� "Y <br />� <br />