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< <br />...... .�,. isr� �_i-nc.r. <br />CITY OF E1'ERCTT==1'Vater Qepartment <br />�p��licatiorA for Water <br />.AII bl;inhs nms� bc Ill!r_J in ur i�ruccil nu, <br />h:rcreif. �_ .� . _ G�s/g ------. _..1'J17 . � <br />f�i l'IIP. �I'I'i'.I�1\'I'P:\llIi\'f QF"1'H6 R'.1TGR DGPAli7'11G72T, <br />CI7'Y OP 14`JGRGTT: <br />1 herebp apPly fnr the mx u( ��m4r in accordance with lhe rt�les and re�;ula� <br />.�.��- ��f Thr \Vatcr Dzplrlm:•nt. (or purpnses and flxlures slated bclux'. <br />Ditrin�; Ihe linte �hat ;wy ui the �r�ler m:iins niac be laken up Ly icasun �•f <br />.'��, iinoru��ements :wihnrized b�� the Citp nf IivrreR, in or n( any sireet or allcy in <br />�, �,Ich tl�o5' utay hnve bcen laid, tlir Cil. will nol bc rc9uiied In furnish a�aler durinF <br />the p�;ipress u( such intp�rnrmenL; in :my mnsumer xhoc r su�•ply tirry• lhUs b�� cul <br />�d(. ur bc liahl� Inr any danr�ges fur it+ b�ilure su lo do. <br />Applicntion ^o.______7L� _g-�.'_ <br />Rlock .'�.tJ�"' . . .Lut .03�_^.�d' _� Add..._ <br />• _- <br />, / S z_ 1� <br />\n_"_._. O �"_Sirccl <br />""' . _____'_.. <br />._"""_'_._.. <br />'ihaw�nrklnbeexecutedby__.._______' ..�..� �. �. . �. <br />'__. . - Plumbur <br />Stuto �izv o( tap. <br />�'_ "'Tap tn 6e inscrted in Ilu� main. <br />i <br />_..lVntcr du�ci <br />r <br />- .. _..Bath <br />---- _ _ .Urinal <br />____.._.Plain (am'��t mside <br />"-- _-'..Sidc �valk washcr . / <br />-_Hnse bib untside �)� �' <br />Hosc bib fnr Auilding purposes <br />. -Hnsc bib insidc <br />__Bibfurstahlecuntnining.____ �I:ill <br />_- Numbrr nf persans in f�nnih .� � . .. <br />.-'_.Numbcr nf rnonm in I�iiilding <br />"fiic premisps qm tn be used as a__. _. <br />_. .. — <br />l'iie o�ener o( the prcmises is .___ .. _ . .. . . . .. <br />_ __._ _. <br />.__.. _..'__' _'_ <br />"'__ <br />TacaGcnlis __,_ - <br />_"...' _'_'_""__'-'- <br />'fhis applica�ian, allhough signrd. shall nnt bc binJing upnp the Cily. until :u�. <br />reulcJ by Thc Suprrinlendcnl n[ tf�, 1Vnt� Uepat,!mcnl. <br />. �Z- ._ . <br />Siµned__ '�"",._< .�/%i'!..�i.%:7. ; <br />�y _. - ' �lic,i❑ <br />� <br />A:n•�iL•d � . �' :/ - 3912 .'_ <br />�i��{= . <br />