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i� <br />ti'. L'. Fom: � 15[U J.1-I; C. P. " . <br />CITY C►F �1'CRL'TT==�Vater Department <br />Alaplication for Water <br />:\II hl�rks must be Glled in nr crnsscd nu� <br />� r,, C .%— '; <br />IircrMt. -- _ "ft�.-:�-�---- -------- -19i _/.._ <br />/ <br />'PU 'PHIi SUI'IiRINTGNUliN7' OP Tilli l5'A7'IiR UF.P.4R'Tidlill'. <br />CI'1'}• (1P Ifi;P:R67'T: <br />I herebp applY (��r the use of water in accurdantt �cith I� rulrs and re�,ul:t� <br />tinns n( Tht 1Vate� D:parlmun[. fur purpusev ;md lixdu'es s[aleJ i>�Ime. <br />Durin�; the timc th:�l any a; Ulc walcr mains map br ��I,in up hy �cason uf <br />anr imPrnvemenls au�horized bc the Cit�� n( Gverell. in nro( any strcet nt alli y in <br />which they m�)' ha�•r becn laid. the l'ity ���ill nnl be required tn lurnish u'aler during <br />the progress of auch improvrmenlc l�� �np cnnsumrr x�hose supple mac Ihus M1e cu� <br />�,f(. nr bc liablc (or anp dam:igas far ils f�ilure so t�� dn. <br />// _ <br />ipplicalinn N�i `_/" p�f Q '? _'C�"_" <br />liluck _�'�N._QJ. �..Lol".'�_�__'...Add_'___ . <br />___._._.__ <br />. ��. _ _ /�J.:�� _ � � _ � � u, �?� f ;.,.,�✓� ----.. si re�� <br />__ - - -- -- „l �I - <br />f - --- - <br />----- <br />'fhe x�ark to bc exe�vted b� .•� -'i��� <br />, ._. _._'...' ___.____._ Plumbcr <br />Sta10 , ze nf lap. <br />/ <br />_.1� TnP ��� bc inscrtcd in lhc main. �_� �� <br />� . _._N:ilcr duset — � <br />-�-._Oath . � . <br />. . ---_ .Urin:J — ' <br />;�: i�' , <br />.__._Plainfaure[insidc . �� ^: �. <br />.�V �1 �� � 1 ' <br />.__Side nalk washer �� I A I 7 <br />.__Ilnsc6ibuutsidc �/rl �4V�III\�I�y.`� <br />�_11i_ <br />______Ifose biU [nr building purpo�cs I `� <br />- r r . �� . � <br />_ _ _.11nse 6ib insidc '.� ' ' � li _ . 1 q i <br />..___Iliblorslablecomnining.._._._...stall..� � P«'__ " <br />. . . ___Pumbcr of persuns in L�mily -.. U <br />l— - } <br />. .�___Numbcr nf raoms in building , �� . �% � �� <br />'1'hc premises:�rc tn be usrd as a_. ._ .....____"_"'..""' _"___'_ '__... <br />'1'Lcnw�neruflhepremisesis _'__ '_"__.._.-. . <br />_____.._.._ ___'.___.__ _.. <br />'�Ill`8Al`IltiS "'""____..._."'"_"_._ <br />_____ ___ ___ __'_'.."___ _.'_..___. <br />'I'his :ippli� ation, al�hough siF;ncd. shail nul bc binding upm� Ihe Cill'. unlil :ii. <br />r��pi�•�1 Ly 'fhc SuperiNenJrM of the 1Yxler Ueparlinenl. <br />SiFn�d �_t'_n.�.:L._.U�L�/�l'j. t¢,i�..:'_._.__...Appiicant <br />;� �iJ� J <br />,,:���m•,� �� �� _]u� j �����' �'. - �- ... ,._��.-� .�_ . <br />