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1D . <br /> - • • • `�+-��� ' .5• <br /> M N'. D. Fcrm � ISCO �:-1]G.P J �' F ` <br /> CITY OF CVERLTT==1Vater Department <br /> Application for Water � <br /> All blank�must be filled in�r crosscJ nut <br /> li��erett.. -_-"" �A _�_"'__.191 �. .- <br /> --------- Y- <br /> TO THE SUI'liR1;9TIiNUIi\'1'OI�9'Iili NATIiR DI:PAR7'TiGR'1'. <br /> CI"Il'OF Ii78NF9'T: <br /> 1 herr6y apPly fnr the u�e nf�caler in actorJanee�cilh lhe rules and reRula� <br /> tiun:uf Thc lVntcr Uzpartnr�.it.fnr P��rnnses and fixWres sinted brlow. <br /> Uurin4 the time tha� ;my ni the�vatrr maius ma��b,• taken up bY reason uf <br /> anp imnmv�•mcnts authnrized b•: th�•Cib'u( F.rerrtt.in or of an)' sl�cet ot alleq in <br /> mnich thry����)' have becn .�id. the Cily w'ill nol be required�n(urnish w•alcr during <br /> the Prol'ress n(sudi impra�•einents lo any ennsumrr �clmse suPply mn}'lhus be cul <br /> o(f.ur bo IiaLlc for am J�ntaK�';fnr ilv(.�ihvc so l��dn. <br /> l �.. ;/ <br /> APpliCnlion \u/Z 2[.'_rC_-�--_/" p <br /> I31ock -------ndd!L_UcA7`r_PffRK_, <br /> '__'__"'__' ____I.oL___"__-__'-_ <br /> \o. -- -- 60.3_j�/7f�IPE/✓�VE `treet ' <br /> ' -- - - --- <br /> _ - -- - <br /> -- - -- - <br /> _ - - - <br /> 'Phe�vork lo be execulcd by ._... ."_�__�.'.5.%O✓G-�"'-'-. - - Plumber <br /> tiiat•size o(tap. � <br /> 1 � <br /> '�-,'"'Pap to Ue ins���led in lhc main. <br /> � _"R'a�cr dnscl ' <br /> __ _'_ ! . - �. �c <br /> _._� _Ualh ,, ` > , <br /> ._. . .Urinal �. � i. \� � Z�,�� � -!'J� <br /> ,'h�. <br /> _ _. __Pl.iniau�etinv�dc�� ' 1 ,,.� <br /> _ ^ <br /> � r<a5� �, c�J <br /> ____'_Side walk e•ashar ; �4; . � : <br /> , �� <br /> _.I'_"._Hncebibuwsidc� '__ ,_ _t .. -� ;' <br /> ..' .: <br /> ..Iluse bib!nr building lini�nses ' _ �. .ti'.-_Y� <br /> _'__-- .. <br /> � � <br /> ___'._'Hnschi6iusidc � �:;.c �f; �' <br /> ..___""'"Bib fnr stablc rnmaining:..�_ :.w^"slalL_..___ <br /> __J'_. <br /> , _.Numbcr o(perc����s in f:unily <br /> _ ' <br /> s__Nmnber of ronmx in 6uilding <br /> The Prr,mises are tu be usc�i as � . -' -'- - --'- "' <br /> � J <br /> '1'hc mvner n(the premises is - - -' -- ,� � / <br /> i � <br /> � Thc ag�•nt is '___'_ . ', . . _ ___- <br /> � 'Chis applirnlion.allhouRl�si� ed.si�l n � b���d/i)i �npim„(ht Gi ', unlil �o <br /> ... ..,d fi 'Phe Su erinicnd t�.l he A R er �Dt�t1 MN V� f� ���, <br /> Y �' / . � / I�� ' lI �I <br /> ( ��, 1 ,� � V�<�'��' Plirani <br /> SlKTned .. � �f J .C� �_'_' <br /> _ <br /> .L l� 1(� '_' <br /> ..o;e`F� � — 1'Il � iy.��_"_'S-�� ' <br /> ._ _ ____1_' � . .'� u mnc A� <br /> f...l-.-r:� ? _ , �i�-:�+l�l <br /> < <br />