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"v'— - n .�.. <br /> N'. D. Fnnn a IS6G'd-1-1]0.F <br /> CITY OF �VERFTT==Water Department <br /> �_--- <br /> Application for Water <br /> All bl�nk:�mus fillcd in or rross wt <br /> � <br /> t <br /> ___'____191 -. __ <br /> F.vcret _._._"-_-_ "'-'- <br /> TO 'CIIESUPIiRINTIiND. � L171''UPHVGRETTEVARTMEKT. <br /> I here6y apply fnr the use uf��'ater in :¢curdance w'ith the rules and reg�da� <br /> �iuns u(The 1Valer UeparUn�-�nt,tur p��rpnscz and fixlm'es sialed below. <br /> During the limc that any n( the w:ner m:�ins'n�Sr���(��nrnsireet V�r�alie> in <br /> :m)� iinPrnvements airthorizcd br [he Cil)' ��f Everrl�. <br /> �rhi�'h theY ma9 h�rve becn laid, lhe CiN� a'ill nal be required ta lurnish e':Jcr durin{! <br /> Ihe PrnKress o(such imPrnvements U� any<nnsumer w'h��sr suVply m�>' Ihus Ue cul <br /> ��fL or bc liablc(nr anS damages<fnr its G�ilurr su In dn. <br /> �eJ._- � <br /> APplitalion N�.-�_'� "_ �.�''_ . �� _ . <br /> ./ �.,,t'-f+�-=r9 ndd . <br /> iii�����; _.y-- - — <br /> (����_-��--�_-,__.Strect <br /> .,�._3oi3 - - <br /> ._ - - - <br /> -- -------- - <br /> -- -- <br /> _. __ ____ ri���»�,�. <br /> l�I�r �curA ta bc rxca�ted ry.'-_.-'-___'-" ". <br /> - - <br /> 5i:i�e sizr of�:ip. <br /> i <br /> ��,�'"_'�'�P lo Ix inc��rled in thc main. <br /> � n � <br /> �. _rv,«<<i��.�� �>�, _ <br /> ---_L -�s,m <br /> --- - .u���„i • <br /> "'Plain (aucel in.ide - - � � � <br /> I /� <br /> � '__"_"__Sidc walk wnsher /��, ,)/�1.�. II �, � <br /> ""_"_..Husc bib oulsi�e � �^.711_ -� <br /> """____�{�ce bib farbuildinK I����f""�•` , .,,;, �, . <br /> "_____-.11nsc bib insidc . .� <br /> '_'""'""'8ibfnrs�ablcconlainin�..-.--'--.. tit�ll. . �"- <br /> '___�{--_".Numbrro(persons in famil5' ,1=__1�. ' <br /> -S/____Numhcru( runnainhuildinK : __ .. <br /> "'_'___."'" <br /> . ._"'_"'... . <br /> _ _.. <br /> Tl�e premises.�re lu be usc as a . . . <br /> __"_. _.". __ <br /> '_'_'__.._. _ <br /> _ <br /> Thc o�encr��f thc prcmises is _-"... <br /> 7'he.Hentis -_.... _ __ '. __'._'_'___ <br /> ' _.-." _'____ .-._._-.- <br /> This :�pplicntior�, althouK�� �iNned,sh:Jl nnl bc Uind'In�;��p���t thc City. tmtil ao <br /> �ip�cd b)"7'hc SnP<<��rnden'��(the N'nler UeP�rbnrnt. <br /> r .i«�,�ar .., '_'_'___"'ApPlicant � <br /> ' '"_ .rfl riy. ._�� ._. __ _ _ ". <br /> np'rW.N1�-,-_'C � .. � _n. i!ntsn2.•�� <br /> � <br />