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�- r!�.� � — ,-'3 7..-, . <br /> ` H' 1!. Fcrm � 16C0't-I.I)C.P. . <br /> CI'TY OF EVERCTT==1Vater Department <br /> Application for Water <br /> :ill blanks must bc filled in or crosscd uut <br /> Eccreit.._-'.___"_""-"""'.._. _. _" . __191 ___ _. <br /> 'PU '1'l1E SUPIiHIN'PIiIhUI?\'I'OF"I'11E R'T'PGR DIiPAR'1'A1FR"I'. <br /> �I'fY OP GVIiIiETT: <br /> I hereby apply for tlie u�e u(e'a�er in :¢cnrd:ma �vith the tulez and regula� <br /> tion:�d The Wntcr U�parUn�ent. far purP��:�+ �nd fixlures sia�cd bdow. <br /> Durint!lhe tinte tlml an)'nt 1!ie�vater mnina may M1v lnken �p hy rrasnn o( <br /> :mv impruven:rnls authnrizcd bc lhc Cih'uf L'acrct[,in cr�d any strccl nr :dlcy in <br /> �vhich they ma>'have been laid. Ihe Cilc w'ill nnt be reqt�ired lo lurnish waler during <br /> the pru�;ress o(such improvements in�ny mnsumer �chuce supply m:q� Ihus be cut <br /> u((.o:bc liablc fur any danta¢a)s Iur ils failure so lo dn. <br /> :\p�.licnlionNa_'���_/.�'_-."` <br /> � � � <br /> 13Hxk .."_.'-'_ . ---LnL.'li<_��.-�'.i.Add__"_ _____.___._.. <br /> .�. .. . •j : . ," . . <br /> \a..'_'"��...�_ " "f._ '__i-u�_u:':L-Ly.-t_i..$I�CeI <br /> "__._" '_ ._ ."__'_" ' ___"____..."____'__"_'_'_"'"_______'__'""'______'"'____ <br /> � "I'he�rork lu I�c executeJ by __"""""._ ."'__" "'_""""-_' PlumLer <br /> titttlr size of lap. <br /> - L� ii _ � . <br /> ""Cap to be inseneJ in the main. ,-� �. <br /> / / <br /> � '__R'atcr clu�et `� <br /> _ .c'__13nth •,6 ��.. <br /> .__._ _Urinal �����.p••�•[���'��`� ... <br /> - �"'"\ ..• ��A.. <br /> _ '_Pla a taucc; insidc � ' �.! .. . E.� <br /> ._.____Sidc�cnik��nshcr r+� �{��. . �'�;� /;. ' � <br /> ._Ilosc bibuutsiJc ./�i�� ��/�/; � ' <br /> . -- .-. . � f� ;\,� , i,�. <br /> _.__'_'_Ilose bib for6uildinF Purpnsec /`1/ '�,' \ . � : <br /> ___'__"_lloscbibinsidc � � �� � ��� � <br /> ___..____Ri6(orstablecnntainin7; ..--_. -. st. �' ��,��• � <br /> . ...._Nmnbrr n(Pcreuns in (amih� ..��`i�""� " ^ � <br /> ___ _ �.��__--�' <br /> . ..J.__.Numbcr of roams in Luilding <br /> 9'hepremisesarelobeuscdasa"_�' _-•-_"_'_"'.""'______ ___ _ <br /> "1'he uwncr u(lhe premises is """--"""""'�_ ""-""_--_ -- <br /> ThenFenlis .__.__. _ . _ ._.._____ _____ ____. _.___....___ .._._'__"_.. <br /> 'I'his application, althuugh xigned.�hall not 6e bin•lin�upon Ihe CiIY. until io <br /> cepled by 7'he Superintendcnl nf We 1Ynler Ue�artmrnt. <br /> SiAnrd_�___. .._��' :_. �_-_ � '___'__.'_Applicant� <br /> , , <br /> �' <br /> / � . , � <br /> Acm,nca.J..�,r�.�.3-- ._I ti�:------ ----�-- <br /> , ��•� . _�sv�.•�.��men�r-i <br /> y ' I: ( / .. / � .�_ t. ' <br />