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. ...�_�.... .._"_... .. . .._.. . .� i �c <br />� j <br /> . �i .. . . / "_/ _ � ]. . . "" � . <br /> �lI . . . <br /> K. D. !'crm �. I500 J-i-47 C.P. � • " ` �� � <br /> ;�. ' . . <br /> CITY OF EVF,RE�T==1�ater Department <br /> , <br /> —� <br /> Application for Water <br /> dll blanks must be filled in or crossed ou[ <br /> �,�// i q <br /> Iivcrctl.._ __ __,�.1���. __'_-. -19ri.�-_ <br /> 'PU '1'IiE SUPI3RINTGND'.iN7'O�TH6 1VA7'GR DGPAR7'MENT. , <br />� CPI'1'OP GVERE'PT: <br /> 1 herrbl'apply for the use o(�.eaier in :iccordance with the rules and regula� <br />�' [iuns o(Thc lVnter Departm_nt, for purposes und fixtures stamd below. <br /> I Uurin�; the time that any oi the w.:ter mains may be teken up 6y reason uf <br /> an>' imprnvements authorir.ed bp thr Cin�of Iiaerei[.in nr o( any strce[ ur ailey in <br /> iwhich Niey m;�y have been laid, the Citp will no[be rcquired lo furnish water iluring <br /> the prn�;ress a(sueh improvemenis to any cunsumer whnse supply m:ry thus' be cut <br /> nl(,or be liablc for any dam�i�;cs (or it� f.iilure so ro dn. <br /> Applirntion Nu.____�_���� ,. .- <br /> �7 /_ __ _ <br /> Hlun. .li'V_�___ '_. __LnLZ� \dd_.�11�__�'_____ __ . <br /> .___ .___.._. <br /> w...11.L�[�_rG�'Fr1/I'lo(_ C�Yo�fj �rrret— <br /> _ . ' <br /> /3!��i'CGI� Gbsl1�_.�qSf d--/�✓e=--- ----- <br /> G � <br /> Thc work to 6e executed hy..,�Q/-�WOY._�M�A/1�y_'_" Ylumbcr <br /> S[ale size u( [ap. / � <br /> p!I <br /> ..Q______Cap to bc insarted in thc main. <br /> _w,««��;�� e� aa <br /> t�,� G uJ L <br /> - _ _�,�„ �er �o . <br /> C y! <br /> -- — .U�,,,,� rof�Lh°" '�� <br /> ..----..__Plain (aucctinside �IIG�'n Lr�;rY! <br /> R�''"�� T q,� <br /> . __._'_Side �valkwashcr P���oS�6'hh� /YI 9�yi <br /> -.______HosebiLoutside ns 5'�)�� O�j�• l <br /> ______.__Hosebibfor6uilciingpw�pn;es �� rjd�'L <br /> ___.__Hosc bi6 inside r <br /> . _____.___[3ibforstaUlcconlniniuF.___._ .__srdl__ _.._. <br /> -_._..__,_Nu mber uf persnns in Lmiily <br /> Numbcr nf roums in buildin�; <br /> 'Che prentises are to be used as p__ 1 Q(/�'l'R_y.'T�.�'jy/.[/�'Q.�" __'_ <br /> �/ / <br /> 'Cheownerofthepremisesis __ �./_Vl_���. .`e-_.__.__.__..___.____ <br /> ... �PheaFen[ is____'______________'_________ <br /> ,,,�I'his :�pplica[ioq although signed, s��II nol be binding upon the City, unlil ao <br /> �pted 6y'fhe Superimcndcnt nf thc �cr DeparimenL , " <br /> i ..�-�'-�L j- r`- !Y'-J� L�<:' 7-�W�p � <br /> Signed______________�______-_T't __-._ ___'__"'_.Applican[ �, <br /> / V�// yy��_. ... , � .� <br /> .Accepted_�:' ___--:r.__.� �19I�' [3y___`f!Tl-._U_�-��'__�_-- / � <br /> . .. - superinlendeei � <br /> � <br />