Laserfiche WebLink
_ �� n,.1?z-r `7-� r r),1 <br />r-, - � <br />�v. n. Fo��„ 4 isoo �-i-i� c. e. <br />CITV OF CVCRETT==1Uater Department <br />Applicatio� for Water <br />rVl blanks mus[ be tilled in or crusscd ��ut <br />__ <br />Iivcrcll. ___-- -.._��. __....__191'L.-.�._ <br />'CO'1'l1li SI�PIiRIN'PStiDIiN'f OF'1'IIF. R'A'1'BR I)IiPAR7'TIIiICI', <br />l'7TY OI� IiYliltL•'7"P: <br />I hereby apPty (��r lFe usc of a'alcr in naurdance with die «ilcs mvl rcgula� <br />ti�in: „f "1'he �1'ater U:P;�run mt, f��r purPusvs and tixttvcs stated beb,��'. <br />DurinF thc timc �hat :mp oi thc �vat, r m:�i,�s may bc [nAen up bY rcason n( <br />nm imurovem:nt; authurixed 6y [hr 1:ity ol L•'verclt. in or ot any strcet nr alle5' in <br />•ehich they nsn' hace becn laid, the City ��'ill nnt be required to furnisL �cater durinp <br />thc proerrss o( such imPruvrmcuts :n any consumrr �cho�c :�upph• may thus 6c cut <br />nfi. ur bc linblc (ur :my danri�;es fur iis (ailure so tu do. <br />' <br />APplicntion Nn.__..1-«'- _'______' <br />'1{-- .--i.�, ��_- 2 G �a�i,�-Q-s<tl__.J }l , <br />�t�i�ck G/ 2--- - /j <br />- ---.._..-, <br />No..__ . 3.��_�e.. -. —'--"—'c/:l—i� -----.Stmet <br />.. "_ ' ""_"".. <br />__..__-. <br />__. ____"____"_ <br />___'__'_'"'_"_ <br />" ___ .. e' <br />��l!�_i'_ 'O-tJ--e.'� ._ ... _.__ Pluntbcr <br />'fhe work tn hc executed bl'.--' - <br />Sl:�tc si>e u( L�p. <br />� J �Tap to bc inseAcd �n lhc main. <br />- �_,__.lVater�'Inset . <br />�. ..... Bath <br />.. .. .Urinal <br />.. . _ _ _ _ Plain 6a�cet ins�.d•. <br />' ""Sidc «�alk �ca::hcr ' r �.i� .. ' . ' ' . <br />__llosc bib auteidc , � �� � �''� i�1�, � �. <br />. __. . -liusn Lib fur b��ilding pwposes �� �� -� �� 1 � <br />. llnsc bib insidc ,`. � � `� <br />. ___._ ��, .. \ <br />, __RibfursL�hlecuntaining._._____-^.-sia1L�- -_� . <br />-___ _ „ . � � . <br />_.Numhcr uC Pcrnans in (aiuily . . <br />. <br />-�.___NumLer u( ronms in huilding <br />' ............ . ..... <br />_"__"_'_"" <br />Th�• Premises are u> >� usec as a_-. _ . <br />"I�hc uo�.•cr nf lhe pn•inises �s __' '_""'__ _" <br />.._.._.__. .__. ___..... <br />. .______.___' ----------------- <br />'fh�� aF•�n[ is .'_.'-_'_- .'-. ___'_'___'_ <br />'fhi. applicatinn. aldmugh si7;ncd, shall not bc bindin� uprni thc Cit>', until ac� <br />,�,�ptrd by "Clic Suprrintendcnt n( thc Nntcr Upm�lmgn . <br />� <br />Si�;ned .. _' � ..." -' '_"___Z- \ppl �..tn <br />____.'.'___ _._.._ � L <br />i' <br />� 1 <br />. _ ,u� �.. - . <br />:,«..,�«�, . ,. . ; - ------ - , <br />- - - , _,.� �, <br />