Laserfiche WebLink
, .. . .. ,. � i--v.-� y - �?l <br /> W. 0. Fo�m � I500 J-1-17 C.P. • <br /> CI'TV Ot=�EVf?RL� I'==1Vater Deplrtment <br /> A.pp�licatiora fi�r Water <br /> All 6lanks must Ir led in or aos«d nut� / <br /> licerct4-.�--�--'-t-��'��T._._`�__.......191�7..- <br /> 7'O TI1L•'SUI'IiRI\TENUI?ti"P O�' {li 1VA"I'lii< Ulil'ARTAIBNT, <br /> or• e�,eicr•.ir: <br /> 1 hereby apply (��r the use nf�vatrr in arcnrdance with thc rules and re�uln- <br /> �Iuns n['Phe 1Va;cr DrP�'rlmznt. (ur purposes nnd fizturea stated below. <br /> Uurinu lhe time Ilmt :mp n(lhe water mains may br taken up b>' reacon o( <br /> any imprnvemenls authurizeJ b� the Ci1y u(licerell.in nr n( uoy streel nr allec in <br /> �vhich hey ma3' have bren laid. Ihe Cily aill not'��c required In furnish�cater during <br /> Ihe pr;�{;ress o(such improcemenls�n:my rmuun�er ichncr supply mnr Ihus 6c cut <br /> nff.��r bc liablc(or any dmm�ycs (nr ils fuilurr so ln do. <br /> :lpplicnlion Na."'��O`�-- �•��e 3, <br /> Bluck ._"�__" - -.Lot_ C_,'__- _ '___Add . ._ <br /> _ _ � _. _ ___ _._ <br /> .� ��a (/�_ � �'� . <br /> �,�. --- - =' - - ---- ---- - . s�r�,,� <br /> 'fheworklnbeexecutedhy._._____.__.___ . . .. . .. . . ___' Plunber <br /> Siate siy.•uf 1ap. <br /> f <br /> .y..�Tap lo bc insc�led in lhc mnin. <br /> _/__A1'atcr dn�rt <br /> ^�/ ��v� <br /> . .__/. .13ath <br /> _ _ . _ :Urinnl- <br /> . . '_7�Plain (auccl incidc <br /> "'Side-a�atkwashc�- . <br /> . -- �.:_Ilos'e bib outsidc <br /> .-._-.X--Hosc bih fnr buildin{!puipuci�s . <br /> ____�("I Insc bib inside � <br /> _'_"'_� 13ibfurs�ablcconlaininF_"__"".slall-_'-___ <br /> _._ _.Numbcr u(persons in (amil�. <br /> _ .._ <br /> ___�__Numbcr o(ronms in building <br /> �n����c�„i«s,r�n,i>���s��i ,5,� <br /> --- .. q.. <br /> l'he o�vncr n(lhc prc�nises is ._ �Ly � -!!.�f1A � �� ... <br /> _"__" _ _ "" ___'_ _..._"__. <br /> Thc an'ent is .'__.. _. .. .. ___'_____"_' '- """_"_" <br /> This ,�pp:ic�lion. allhough si{,ncd, chall nut bc bindinF upnn lhc Cil>', mitil :ic� <br /> crplcd hy T4e SuPerintendenl of Ihc 11'nler Dep;u'tmcnt. <br /> � SiHn�•d . �._.�2�Z�n2 f ApPlic;mt } <br /> �/ 7 " , <br /> Accr�ned_ f �-7--___-1b7f liy.� � �� . . <br /> . / . .. _. . ,.�. ...,� / <br /> r> <br />