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2803 19TH ST 2018-01-02 MF Import
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2803 19TH ST 2018-01-02 MF Import
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Last modified
5/18/2022 2:13:59 PM
Creation date
4/2/2017 3:34:16 PM
Metadata
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Template:
Address Document
Street Name
19TH ST
Street Number
2803
Imported From Microfiche
Yes
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� " - . . _F ,y - .� � ��� - 3 d -/9 .� <br />. . , <br />W. D. Fcnn a isoo a-i-n c. r. <br />G61'Y OF C\'ER,ET�'=-Water Departnzent <br />1�.p��iication for �Vate�� <br />:AII blanks mus[ be fillnd �rt,ar crossed nut _.. �� <br />__ i '-i � o / :%' , <br />� _.191 ��"-'� - <br />e��.��•«. -- �1- ��� =` - /--- -- <br />� <br />'I'O '�'{IL SUPIiNI\"I'IiNUIiN'1' OF 7'Hli \VA'I'IiR UtiPAIi7'MBN7', <br />(:11�1' 01� F.'/1iliT'1'T: <br />1 hereby ��pply fnr the u.e o( �vnter in :icrordance �cith die rulrs a�id reF��I,�� <br />ti�.�n: of "1'iie \Vater U�pirtmrrt[. (ur purpnses and lis[ures::tatcJ bclo�:�. <br />lluri:ig the time Ile�t anp ui tL•c «�ntrr mains may be t�ken up by reasou uf <br />;iuy intnrucrment� authorized 6p U:e Ciic nf Iiverctt, in u� of ::n>' strecl ��,r allr}' '.:� <br />wltich lhey mn1' ha�•�• 6cen I:ud, the C�ty �cill nol bc rrquired lu fumi.h «'ah�r dur:n�, <br />[iie Pru�;ress u( such improvements to am cnnsumer v:Ln�:e wpplc niay thtu i:e : n <br />ut(. nr be liable fur anc d:unages (or its (ailure su tu du. <br />.L ? <br />Applicntiun No.___��. ".- �._. <br />131od: ."' _'_'Lnt .._ �\dd _ ... ._._____ .._ <br />- - -------..--.- <br />` � �—a-� ^ � �-------- -----.Strect <br />� \o.__s•�. " ".____"'_ ' <br />_'_"'__'_""' "_'_"__ <br />""'""""""'"_ '". "'_" <br />��_CLe�carktnbeexec�:tedb>�-____.___'__"'--.-__. .__ -....-.._ Plumber <br />� <br />SCrte.Eizv n( lap. <br />r�i <br />___ _.� _'Pap tn he in<er,ed in the main. <br />i> <br />___ �_.. _�V:de�, , ,�•c[ � . <br />i <br />'"_'"�__-13, th ." <br />__.___ .Urinal <br />____._--__Plain (aucet in�idc . <br />.. ___"'_Side �c:�lk w�sher <br />. _ _Hose bib uu[sidc <br />__' __.Hosc bib (orbuildinF. P����P����s . � . <br />1 . <br />___ __kluscUibicside � � <br />_._Iti6tnrstablernntaining ___.._. - stall__..'"__y% . .. <br />____-_ \umbernfpe�s�,nxin(amily ���: _ <br />.Ql_�.-NumLer a( rnom: in buildinB . <br />'I'hePremisesaretobcusedas::_...- -__.__- _.. ............. .. .... <br />'Phco�.cnero(thepremisesis__-_ _-_.__._. _.-___.'___________________. <br />The�gcntis.._"'___ -.._______________________"___"_"....__'_____. <br />This ::pplication, altl�ouFi: si�rncJ, shall nol Lc binding upnn thr Ciq'� ❑n[il :�c <br />teplc;l by �fhe Superictendr,nt ��(� ��• �Rrtcr UeparUnenL : <br />/�?t"f_/ ��/'�__�' �_� :��:�'� _ __._.. .Applicant <br />Sipnr.d __ L _ .-'- '-' <br />/�' �y j � <br />:\�'tePted.� � �.q _' .lg}� ✓ I3g'�.�. _ . . _�... .. <br />
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