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K\ L. ��eic. � I"'0 !.I-I]C P. • . <br /> CITY OF CVERETT-�Waier Dep.ariment <br /> Application for Water <br /> :\II blanks muet be filied in nr crn:�ed�n:l � <br /> r:��e�e��. �..e.r,/_� ,3/�= � �eii3 <br /> T�l THE tiUPI?RINTF.NUFN'1'OP TlIG WA7'F.R 171!I'AR�iMF.NT. <br /> lIT7' OF EVF.RF.7'"1': <br /> I hrrr6y xppl>'fnr the une nf wnler in �¢crrd.mr-w.�th the rules nnd r�guln� <br /> ti��nr of The Water Ilepartm•nt. fur puqrnnre nnn iizluree etxled beinw. <br /> Uurinp the time Ihat nny o( Ihr watrr mnins mny�x -nk�n up bY r�n.�m o( <br /> :mp im�rtnvements qulhorixed by iSr Ciiv o( Gv�rrtl, it nr nl .�nY etreel or nllry in <br /> which theY maY havr becn laid. ihr litY w'ill nnt b-� nv�iired t��lurnieh wnter during <br /> �4�, prnRren9 of euch imprnvemenlc tn eny rnnsumrr x�hoee eupplr mnp thun Le cut <br /> � n.�rt bc linble fnr any dam��gcy fur itv (nih�re xo tu dn. <br /> -J v,ra <br /> AnrlicntionNn.._ --- -- ----------- <br /> Ii6x�k ' Lut. ._. .. . __. ..Add ._. . .._ . . -_. <br /> ��os _ ���Q�� <br /> No.. . -- _ _._""'__-- _..__._.Strer� <br /> . ... . . . .._ . ..._.___. . _ . ....___._ _... .. . . ... ... <br /> "1'hr wurk tu br execulyd ly __.___ ._ . .. . . . Plumber <br /> Stntr s/�.F,e uf Inp. <br /> �L�{-T��p In Ix inser�ed in Ihe main. / -�p ' <br /> � _Wn�er clow�t � C� — <br /> _ ..�.- Itnth <br /> . __ .Urinnl <br /> ._._ Plnin (nurel inx�dr <br /> ..____.SI(If N'AII( WA9�If! i <br /> . _.__Ilosebihnuteide <br /> ...__..Ilnsr hi6 for building purl*�se� ('�-. i <br /> .____Hrree bi6 inside \�. ' <br /> r <br /> ._. _._IlibfornlnbkrnntnininN .. x1:Jl..__ . .� � <br /> Numbrr nf perr,nnn in (nmily <br /> .�.Number of rnom�in building <br /> '1'hr premiser are tn br u:a•d nx n . . .. .. ... . . .. . . . <br /> 'I'hr uwnrraf ihr prrmisen ix . .... . . .. _. <br /> _. <br /> 7'hr nNrnt is _ . . . . . . .. . . . <br /> 'Phis nppiicxtinn.�dihnuph nignrd. xhail nut 6�•binding upm �he CiIY. �mtil nr� <br /> , i,Y •rnes�������m��r�of�hr,Wp(a�Uepn�l�,�rul. � <br /> � /A 11 <br /> Sitinrd �.J�l't-ilr_ �1��. �.�P.u/1. _ .._-Applii'anl <br /> n�„,����i 3 —�/ — �3 �,> /�. ��/ <br /> , , ," :;��•,�„�.� �.� <br />