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2615 16TH ST 2016-01-01 MF Import
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2615 16TH ST 2016-01-01 MF Import
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Last modified
4/19/2017 8:06:13 PM
Creation date
4/4/2017 2:26:10 PM
Metadata
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Template:
Address Document
Street Name
16TH ST
Street Number
2615
Imported From Microfiche
Yes
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GITY OF E�";RE� �==Water llepartme��t <br />P�pplica�ion. for V��t <br />All hL:nks must be i d in crusjscd uul <br />liccrctl,-' ��___' C__._"' '_'-'_..191 �- <br />"fU THIS SUPIiHIV7':!KUIi\7' OF "fllli \V:,7'ER DFPAH'Ch1F.NT', <br />CI"I'Y OP 1 91H� 1'S : <br />[ herebY apply fur th:; use of wa[cr in :iccr,rdance «'ith Ihe rules :md re�:ida� <br />ti�,:i.; u( The 1Vater Uen:vtm:n[. for purposes ;md flztures stated bcl.m�. <br />Uuring the time �ha[ any ot Iho ��•ater m:�ins may br taken up by re�ison o! <br />any improvemee[s authurized bp Uic Cin• �d Evcrrtt. in or o( any street nr allry �n <br />o�hich lheY �»;�Y have been laid, the �ily �eill nut he required Lo furnisii waler durinF <br />ihe pru�;ress nf :,uch impr vemrnts to an1' ��nsumer whose supplp may thus he cut <br />��If, or bc liable tor anp d: i:igr.- (ur �ts L�ilun• so to dn. <br />APplicatiun '____ _._�_�G_--� <br />A(!/ RIncA ___ _ /� La["___� __' \dd .... .... _.._ <br />___ _____ /� (' � <br />Nu. �..__.. ��-_-�_eJ'_____._..t!/'_..S;rcet <br />'Chewnrktobeesecuted65'...._�.-_________ � <br />..... ..........._ __ Flumbcr <br />Sta/ty� sizc nf tap. r/ / 9l� <br />�/„�.: Cap to bc ins-crted in the main. �/�N /��� 7 <br />v � �,, <br />____�___--Natcrcinset ,�,/� . <br />/// <br />./__'Hath �" <br />. .Urnal -.��� _ � <br />. . Pl�iin Lmcet insida <br />. _ _ Side walk washcr <br />_ _ .. _ . _ Hose bib outsidc <br />I'` 1 ' . <br />,'. �� )�,� � �� <br />. ______.Hosebibforbuildir.n,purposesi�� � �,1�� <br />1 � <br />_.. _.___Husc bib inside �,, '� �;p <br />_____'.I3ib!urstablccont:iininF_____ � �i� �*a <br />i �. <br />_ �[ � vwnbcr o( persans in fmnily �� "�+�, <br />-�-±____Nmnbcr uf rnnms in building <br />` `* ! <br />The preinises . re to be used as a_.__. -__'_.__"___. <br />'I'h�• awner o( Ihe Premi,es is _____ �__ _' _ <br />"fhe aAen[ is . ___.._ ..n <br />. "".'__ ' . .. <br />This npplicatiun, althnugh � . uc i- <br />repted bp'fhu Superimrnicat .'1 je���,rter U rtme <br />-;�mtl'�__'��'-� <br />� n,� <br />:\ctcpt�ii_ /�"_"�s_ _1�%Y <br />I3y <br />____ __'�7" ...____. . <br />tQ�oi t�u CpY, ntil ac� <br />_'�____.__'__��_' <br />" _....r.,..e,.i. r., <br />. � . . . � � . . _ . - � . . . _ . . . . . � . . . . <br />
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