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Gn. . . .. ' y_/9 ;�'7l <br />::. p. Pcrr� 4 i5.: �:-1]C.h. <br />GITI' OF CVCRETI'==\Vater Departme�ri <br />Application for W , e� <br />:UI blanks must be Glle in � crn=<ed �ir, / <br />� ' 9,.�.�,,,�,. - _ -- _-I.� _- - ,��� <br />'PO '1'IIF: SUPERIN'PE\UF.NC OP Tilli lVA'f1iR�UI:PN:7'�iCK7'. <br />CITl' OP I `IIiRIi'PT: <br />f herebp aPPly� for tl�e uce of water in :�ccnrtlance �cilh the rul��<:ind ref:��la- <br />;i �n: u( Tht VVuter U�partm�nt. for purpnsi•�; :ind fixWres slated 6clmc. <br />DurinG lhe tlnte Ihal anv of Ihr �cat: r mains m:ry br taken •in be rra=un o( <br />nnc imnravem�•nts authoria.el bv lhe Cit�� o! lirerrit. in or o( nn)' s.trcet ��r alley in � <br />�r!iich thev m �Y liave bren I:�id. U�e City «'ill nat bc rcquired �o lum�sh �eatrr durin� <br />�he pro{�ress u( such impmvemenis Io :my enn�umer �rhnsr supnly ma}' Ihus be cut <br />nil. ur bc liablc for :�m� Janru;cs Inr ', failure :o to do. <br />ApplirnliauNu._�0-�-"' ` �//L�N_/JL (�-Q�(. <br />Rlod: " _' \dd__..."-_ '_'_'_' .. <br />�7�`�� � '' -- � -- ---� <br />\o..¢'-��.�_. _ ---- -----�----..Strcet <br />__ ... -_-._.._'___.. _-.._.._.____.____..__.._._____.____.._____ <br />'I'he�co�ktnbeesecutcdiiY . .______.._ .. .._ --_-__.-_...-__ Plumber <br />Slatc 'izc of lap. . _� � <br />��� -'Pap tr� be inserted in Uie m:iin. eL�j Q� o O <br />/ _n�,«. �i„�<< <br />_�f' 6 ._� <br />� �t:�ih <br />Urinal � � �--.�:� <br />,� ��...� ''�V. <br />. Nlain f:mcct insidc ,.. _. \L '. <br />'� ..Sidr �calk ��'ashrr . � I � � � \� �, <br />. .-_ �/�.���� d <br />_Ilnse Ai6 oulsidc ' :� ' ' . � � <br />"�1: i <br />___.__ ..❑oaebih6�rbuildinFPurposce - �' �� �.��,� `.. <br />i� . <br />I��b for�staGlc contaimnK '- st�ll'- �� "_� �, - <br />_ __'___ ° . . <br />�'er <br />-- — �' _--- z\- -'-- -- <br />�,^_Numbero[ptr.'unsin[amilY �C�Q�� �_ <br />_ CJ._..tiumberofranmsin6uildinp �Cr vr= <br />I�hepremiscsaretnbeusedasa____._-_______"'.__"' _'_' <br />� <br />'Phc ux'nrru( theprenuscs�s .-_'_._-____'_-______'_'__'_'__... . <br />ThcaKcn�is ""__'_' .___"_._'_'..._.__'_-____...______. .. <br />"I�his :ipplicalinn. altlwugh siFncd, shall nol bc biudiu� upon tl�r lil}•, unlil .�c� <br />,-eptu,l by Thc Superintcndcnl�r hc 1� i- DrparUncnl. <br />Signed. CJ�. -.A-��'--`-�"��_"_-_"___.Applicnnt <br />�A:cepicd��__L7-_.�.- 191f ityG�. 1. _. _.. __._.__.___-_ � <br />/ : i _.,�ri�v.�-.<�i <br />E;,i4L ,'� %/y �ll� <br />