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� <br /> W. D. Fcnn 4 IS00 d-I-I]C.P. <br /> CITY OF E\'ERE"fT==Water Departmem <br /> AF�lication for WVater <br /> All blanks mus� be filled in ar e n�sed aut <br /> 13��crctt..�i�i"���� �_.__._19Y�..y <br /> TO '1'IIF,tiUPIiNINTENDIiti'P OF'f11Ii\VpTER D6PART\1P\9', <br /> CI"C}' Ol�Ii71iR1iTT: <br /> 1 herehy apply (nr ihe nsr o(waler in accordanee w�ilh the rules and rrgala� <br /> ;ion<o(Thc \Vater 1):parlm•nl. [nr purpuses and fisturcs stated brlow. <br /> Durin� Ihe lintc Ihat ;my of �hr watr�r mains may br tak�n uP by reaci���n( <br /> any intUrnvemcNs aulhorizrJ Ir: Ihe City o(Eccrell.in ur uf any sL'eel �n .JIeY 'n <br /> vrhich thr�� m'�v h'rvr bcen laid, U�r C.ih� n'ili nnt 6c requirrd lo lurmsh�calrr during <br /> Ihe prngress u(such impravemrnls In am•tnnsumrr e'hnse suppl; mac�hue be cut <br /> ��fL nr be liable(ur any dann�f�rc iL= failure so tn du. <br /> . <br /> Applitaliun No., ' -,,--'-"'" <br /> Illnck .. -�:.___ . /l_ LuL-� � y� _AdJ.___ <br /> ' "__ '__' ._.____'_'_ <br /> _. <br /> Ka._O?`-�D �. .`�--�__-__ .___.__ .____.Slrcct <br /> _____.._..'__ . __._.__. _.. . _._._______._-__-_ <br /> .'_Pheworklobcesctulcdhy_'__...."'__'- '- _.. .___-_-__'__ Ylum6cr <br /> Stam v zu a(lap. <br /> _�y._'1'aP to Le inserted in Ihe main. -___,,�'4{ /' G <br /> /'<) • <br /> _.. .l._-�1'a�cr cl,�=et <br /> _""�---Rath <br /> __ '__' .Urinal <br /> . _'__'_Plain (aucat insidc <br /> _____tiidc �.�alk�c�sher <br /> '_'__._Ilnsc bib nutside <br /> .____ _Ilosc bib fnr building PurPoscs <br /> ....___'--Ilosc biL iusidc �,� <br /> ;� i <br /> ___-_.Rihtnrstablernutninin�;_.. ..-_..--_u�IL.._._ . . ..X <br /> . Numhcr o[D�rsans in family �/' _--� <br /> l/ <br /> "' _"'.Yuntbcr n(roonn in building <br /> l'hepremisrsaret.ibeusedasa_-'_'.__'-__'_-'_" _"'__"_"'_'_ """' <br /> '1'hro�onerulthepremicesis ...._.._"'_-_'_-'- ' '_--___""""'__"_ <br /> 'fhcaRcnlis '_'... ..........."'_"'___ ' _._"." . ._"_. '_" <br /> This ��pPlicatinn, although si{;nrd. shall nnt 6c binding upun [hc Ci15� until �o <br /> repled by Tl�e Superintend I of Ihr 'ntcr Ueparlment. <br /> tii�±nrd_ --_ ' '_. _ . . . _'_""Applicant <br /> ,\iccP�ed.�_ . `,.� . lOL� 21iy� <br /> _ _�:.:�,�,�,;:.�, J <br />