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. . � �wY v ' -z - —=-d � <br />, R'.O.Fcnn.V ISLpJ.1.1-C.P. • • <br />CiTi' OF C1�CRCTT==Water Department <br />��apincatioai for Wat�s- <br />:111 blanks must Le 5iled in or crossi•d nut . <br />li��crect.. . -._.__ ._,/IiL:v�-�.-___r.�___-171i_�. - <br />Tc) 'PlIG SUPE�i.!NTiiNUGK'I' 01' Tlili 1VA'PGR LIiPAR7'\IIiN'1'. <br />C!"I'1' OI� 1 `iBRL•'i"C: <br />I hereb>' nnply tnr the nsr uf �cater in accurdance �ei:h tfie ndes and regula� <br />.I-�:i: u('Ph^ FVnter Departm •nr. (or purpnses :md tixtnres s[ated below. <br />DurinK thc [imc ihat ::np ui thc �vntrr mains may bc ta4en up b:; rcasnn of <br />:un� Imiaovemcuts au:hn:ir.ed by tiic Cilp ui E��en•it, in ��r of any strcet or aliry in <br />�chich lhec nriY' have heen liiid, die Cil�• �•:ill nnt bc mqui�ed �a (urnish water during <br />iiic PrnRrc.: n( such intp:ove�m�nts tu any cunsumrr w'husc supply nury' Ihus hc cut <br />�dL nr Uc liahlc (or :ny dam�i4��s tor its tailure sn to du. <br />.� .-, <br />Ap�;linition 50._ � _ 7'_ �. <br />�__.____ <br />131ocA _.�.�' � - _Lot_�'�______'__' 1dd___ -' - .. <br />- -- -- �. ti. -.�;J ;. <br />Na._. _. .t.;. - ' .'____ %�g07—. trert <br />----.._— --�----' � --------------------��-----------"-------�- <br />.-� - <br />"fhc«�url:tnLeesecutrdby .___�--_�e_`�"S..iL..�__-____.__ Plomher <br />StatC ize u[ 1ap. � <br />/ <br />���_Tap Ui be in�erted in the main. � � L c <br />____._�_.`,1'atrr c;nset <br />--.----. Bath <br />_. u���„t <br />..__.'_Ylain (aucet insidc <br />...____Sidc a�alk w:�sher <br />. __'_._HnsebibuulsiJc <br />, <br />'� N : <br />.__'___._IluaeUiLinrbuil<iin�;puipnzrs , � <br />. �...��-.Hib(or�tablcicont.�iuinF-_-___...__stall__. � ���' <br />.._- ____hembernfpenunsm[amily <br />i <br />._`, j__'Number n( ronm.. n� huildinK <br />'I'hepremisesarctnbi•used��sa__..___.___' __....__...--__.. <br />'Ph�•o�rncro(thepirmiscsis __________________.._. ._ _--.__-.-____.__. <br />'CheaKent i5 .._.".-"'_____ _______________"_'_ .-_-__._-_. <br />"Chis aPPlicalinn, ;ilthuuph �iAned, shail nnt b�� binding upnn thc Cily, mrtil nc. <br />r:plad Uy The SuperintenJen[ of the Wnlrr Uep:irtnienL / <br />// � <br />�JL+;L (��' C_... t�� r�:;L �_'Av� �c,mt <br />Sitin�d . v . ,. _ H.(/ . .' � J <br />� �' � <br />A��ceVtrd.� . _ � .19�� --�» _. . _ ... ... <br />vi <br />� <br />