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� <br /> i <br /> ,. <br /> 4 <br /> ., (=..�YG 3--• �_�9 ��r. <br /> W.b. Fc�m a ISLD ;f-1-I>C.P. . , <br /> C(TV OF CVGRETT==Water Department� , <br /> Application for Water <br /> All blanks must br filled in nr.r ..std aut � � <br /> �lN.fifi ----..o.`._��` I <br /> Eccrett..... _ ..______191 .�. <br /> TO THE SUPERIN7'ENUIiN7'OF THP.WATER DEPART7�1P\7', <br /> CITY OF GVERIiTT: <br /> 1 herebl'apPIY!or thr. use of water in acrnrdancr a�ith the rules and regula� ' <br /> tinns of'Ph� CJater Drp�r(m�nt. fnr Purposes and liztures vl�terl belo�v. <br /> Urring the Iime Ihat any u(thc water mains inar br tnken up by rcawn o( <br /> any improoemenls authurized 6c [he City o(IivcrMl,in or nf any strcet ar allrc in ' <br /> n•hich t:ey mav have been I�id, thc City will not be required lo furnish wa�er durinF <br /> the prugress o(su�h improve•ments tn nny consumer whose supply may lhus be cut <br /> nf(, nn c�liablc tur any dam,�ges for its(ailure so In do. <br /> Applisn�ion 1r'n... _..17_/'9_�""' <br /> 131ock _.__`.?___. ___I.o . — /1 �+ Add <br /> - �jl`t"'�'� _._. __'_.______._ <br /> \n.._��Ql ._ .rJ:-*_-�-_�__"'_......'_'_Strect <br /> '_'_"'__'_____"' ' '_"'_"".__'_"___"'__"'__'_""_"""'_'_""'"__". � <br /> 'fhewarielnberxecutedl�p.__"___"'__ '_ ___"_"_______'. PlumLer <br /> S�. e size u{lap, <br /> � ��__._Tap m be inserted in Ihe mai�. <br /> ._.�___ _15'aterdnset <br /> __ _,Y„, <br /> --� -.uam � s � � :� <br /> `�. <br /> __._ . .Urival � if������i�. � O � <br /> A `� <br /> ___' ..Plain faucet insidc � �� /�/ /� �����i���`.� � <br /> + r r ! ' i <br /> _____.__._Sidc walk aasher +1 ( � � � � � , } � i <br /> ""__'._Hosebiboutside � 'I � . � /'� �� 1. . <br /> '�. i�±� ! ) � <br /> "_"_"'_Hose bib for buildin�p��oses l� � / I <br /> "".-""Hnsc bib insidc � f�9i__. � I <br /> "_' <br /> � � i- �� <br /> '_" ."_I3ib(orstable<un�ainin��l:�f�/"' �I <br /> _._ ___Numberof�ersons in f:imily.� <br /> ' __ <br /> ___�___Numbcr nf rumns in builAin� <br /> The p�emiscs are tn Lc used as a________________________ <br /> '_"__"_'__" """ <br /> T'�.c nwner of the prcmises is ____'____________'_ <br /> ._____'_._..'_._'_"__'__ <br /> Thc agenl is _.._. <br /> ___'"_'__'___"___ '__"___"""_"___"'_"'_ <br /> This �pplicaliun, although siqned, shall nnt bc binding upon thc City, untii ac� <br /> cepted b��The Superintendent o(tl�e Wnicr llrpartm�ent - <br /> SiKned .. .rS�'({'�t_'�S�vft�'_ <br /> r>�,c;. <br /> r — ---------ArNicxnc <br /> ' --!- <br /> Accent - ...�`�.�ls1 g Ry�_..i�y . <br /> -------------- <br /> / .�;<nni��e�m <br />