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_ �� � <br /> i <br /> ! <br /> , <br /> i <br /> , <br /> � <br /> � <br /> , <br /> �-„- ._ . � . �� <br /> , <br /> - _ h %_ Y- i�`f; <br /> � <br /> -w. r. r; ��� e �.nco a-i-i i r.t�. . . . <br /> C9TY OF CVER�TT==Water Depai�tmenf ' <br /> =-- � <br /> Application for Waater <br /> All hlanles most b: filled in or crossed nu[ i <br /> '. Gvcrett_______ ____ __ ___��_S_ .______.'91 _�___ . � <br /> 'I'(r 'PHIi SUPL•'RIN'PENG2iN'P OG'flll: WA'PGR DE?AK7'b1GD'7', �, <br /> cr� or• r:v�aerr: I <br /> I hereby apply (or tl�e use of wa�c� ir accnrdanre �vitL the rules and requla� ' <br /> ti.,n�oC The lVatcr Uep:vtmei.l, fur parposes and Gxt�res stated helow. � <br /> Durinr; 8ie [ime thal n�rv ui the �.caLer ii�ins map be taken up Ly re.uon nf <br /> :iny unurovcments au[horized 6�� tne ;;itv uf Hvercit,in or u( :inl' strcrt or alley in � <br /> �chlch dirY �»:�S' have becn I;iid. the Cily �cill nnt be reryuired tu (urnisi• n�:ter durinF <br /> tLa uro�ress o(such in'��rovcmems ln any consumcr e�husc supply may thus bc cut <br /> di. nr he linble fnr anY��/:����;6;�r it, (ailum so io do. � <br /> :\pplicn[imt Nn.'_'.[.��. . ._ . <br /> (� r <br /> R�uck _---- /---�--- - -.�---+-Lnt--�/---- � --Add.- - _.-.�_-=`� 1 <br /> ) �-- '___'_ _' <br /> �c._1J_d�__/-e-�-�!�_'-'__�/_�_. . Slrect , \' <br /> ""' "_ __._'____ <br /> "I'hu �eorktubeexecutedbl'----- '--.-_-.--'-'____...____ PluntUcr <br /> StaJ(c' /eizc nf tap. <br /> '�/�^7____Tap tn bc ineerted in U�e mair.. �" vr � <br /> _ . __.. ,;'��"�/ 1� '`:�. <br /> . . _R'atcr doset ' i�: <br /> . , , <br /> �-'�.A�'`.. / . <br /> `; . <br /> - �3,�,, � �; ��j�,�, ����\�,;� <br /> ' l, ,� `�, � <br /> .._. __.. .Urinal . _. <br /> _..__..__Pl:iin (aucet insiJe ,l �4� ( . <br /> �l� $� jn' i ; <br /> __ _Side walk �vashcr Per �y`. 1 i� <br /> . -.__._ijose bi6uutsidc \x.. .. -f! �'"::'w/�r <br /> .. ___.___Ilose bib (or6uil:ling pw�pox•s \`�`�\�ar. � 7`�;� <br /> -__..._Hose bib iusldr a'.=-:^,;;:•- � <br /> _.___'_'_I3ibfors[ablcrnnl.,inine.__. ____st.Jl.____. ... <br /> .. __Nusi6c:ol person� in fa�uily <br /> .___'_�.__'NumLer n(raoms in buildinq <br /> � 7'he pmmiecs are to 6c used as n_._.. _"___"____'_.__._. _._ <br /> . _._. <br /> ' The nuneraf thePreinisesis ____....._'_._. <br /> .. ._..________..____'_.__.. <br /> Thc dFrit i: ."_'____' _" <br /> _'_'"...' '___'__"'_ <br /> "C:�is ap,lication,although siqncr!,�i„II not hc binding upun [}�,c City, un[il ao <br /> cep[e:1 Ly The Superimendrn r(die \Vater Dep�n/rUne iL �� <br /> SiKned _���'�'C'��U -Qd��l.eAPPliraut <br /> - " ____'__ _ . ' "' <br /> ___ ' <br /> .lcccpted./L��_//�"__14,Ya i .3}�„ � �-- <br /> f' � f/f ._.'____._'__.__"__ <br /> . � L;� , _. . ��� .,_.r, <br /> ;,�.. _ . <br />