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v�a....: .,, ... . � <br />�.-i � O&'�' �y— zy l�T <br />Y.-. I). Parn: : .. �,-.nn—F:.F.Co.-6-2E .d <br />City of �vere�tfWater Department <br />l�l'�'LIC A.TIOi� �QR '`�� AT�R <br />All Ulanl's must bc f;lled in ur crus d oul <br />---�— �� <br />Ece rett � ......................... _...... . <br />...._ _..._ ............. <br />....._.. ._19°� <br />TO THP SUPCI�.\TL•'A`DC�ICIT]' 0?'�CVi.I'.I's(TT llL� ,,�T•�l�J.��. <br />1 Lc;eLy app:y ior ihc uee o: �v:�tcr in ae'rrrd;mcc �vith lhu telcs :md regu' <br />latiuns oC thc Water Department, for pmpuses u�id fix:ures svded �����"'•ren�un <br />During the time that any ot the ��',�tcr m.u��s ma}, bc. t:.1;en up U}' <br />nll Y��n'�vliich ihentma}' 6nce�Ueen}ln,�l, UielC S'��ill nut�be�ler,nlred�totSurni��h <br />n�ay QiuiiU�cut ft or bc�linblc fo���rnS'��<laur,��•rs�tor�its f:iiluro �u1to�do.�'�",ly <br />Applicntmn Na . ._._ � ...._. . .. � %1 I <br />cx <br />__ _ L�t._l. G rs - .. . _ . �aa. a 9 � _ <br />B:ocic . ...... �yn7 �i9 �--� <br />No._��a3 �.:. �.�'�q..'.._. <br />. . _. .......... . <br />Strcec <br />__ ._ __......__.._. <br />_ _ ......_.__.. . <br />__.._ __ <br />_._._ _ ...... _ _... <br />.......Tim �';m�k to be exewted by.. - -.-.. .. <br />te sixe of tap. <br />�..r,�..'..._TcP to bc inserted in the main. <br />..._...........�Vnter closet <br />.. .............. B a t h <br />.............Grinal <br />_ . .. <br />__..._ ......Piu�»t,�� � <br />. .... .._..__ ��. . � <br />r( �-`'`�i �`�'�`"��-��-'- <br />�?- - ��"�•. � <br />i /i/�.; <br />, <br />...._......_.I'lain fnuceL insidc <br />.__......._..�idc �cnll: �cnrshcr , <br />....Ho�e bi6 out,ide <br />;�� <br />.. ._IIosc biU for buil:ling pur�ioacs � <br />_ ._ .. <br />.__._...._..IIosc Uib inside � � . <br />vtsll....._ ............. ' <br />.........._... BiU Sor staUlc contain'�ng ..............._.... <br />....._.........Numbcr uf Pcrsone in .`nmily <br />.......... ..hmn5cr of rnoms in building `�'���r <br />iLe p�emises are Lo �ac used ns n.._ . _� <br />.. ...... _. <br />, G� _ l,(/ A�C' ��_� ___ . <br />7'i�e u�vuer of the P"emises is.....� � <br />. . . ........................... _... <br />Thc agent is ..............._....._......_......_..... <br />........__ .............._..5. . P. <br />This npplicatian, nithouF}� s�d���''�� ���'��1 not i�e bindin u on thc City, until <br />�•ked by Ln�Superintvndent of Lhc �\\:ricr Department. <br />� . l.C.: �f-X Q^'^-�"" 3� ..._y .. .pl�cant <br />�ncd..... ' �� � / <br />J <br />'� �" � -�. T�y. l � � . <br />�. .. <br />•.d. -�..---��✓� � � Surenntei.dent <br />� i <br />