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. - . . . .. f-N,�.F-rr—,z3-91, <br />W. D. Fon: 4 1500 i-I-1) C. p. <br />CI�'Y OF C�'ERETT==Water Department <br />Application far Water <br />.11l blanks must be filled in or �ed nut <br />, � �/� <br />Gcenll. ��' ""' / ' _"'_'_".19Y_d:_' <br />TO THE SUPIiRINTIiN1inN7' O� ' HI: 6'ATGR DGPART�tENT, <br />(.1 O"r �91iRE7'T: <br />1 here6e apply (or the use nf �enter in :�rcordqnce with the roles and regula• <br />ti�.m; nf T6c 1Vater D.p�run �nt. fnr purposra and fixtures slatcd bclnw. <br />UurinQ lhe lime Ihal any n� the water m�ins may 6e talcen up by r^ason of <br />:�np impruvcinents autliorized Ly the Cily of G��cretl, in nr of an>' slrcet ,�r cllc)' in <br />�vhich lheY ����Y have been I�id. tlm Cify will nnl be m��uired tu (wiu�h aaler c�uring <br />the prnqress o( sudt improvements U� �uy consumer �i�hose supply m�y thus be cul <br />nf(. on c� liable for any d�m.�ges for itx f:�ilure su In do. <br />i p <br />Applirntion No.'_�iQ .0 _�'______ <br />i _ <br />Block ___"'�'�'_" .ot_'�___ � �—.._Add"_____"_'_'_. <br />Na.--- --� � . .--..Street <br />- - <br />' -------_". -' ."'- ' <br />�----�-----. .._- � -----'--------�-----"------'---------'--'_. <br />'I'hc�vnrktobecsecutedby._.______'_'_"'__.__.__'___._____'_' Plumber <br />Stalc �p e a[ inp. <br />'/ �G <br />__ /.�ap W be iuttrteJ in the main. /�_ <br />"'_ (.___N'ater dnvet <br />_'__�__..I3ath <br />_'_._'__ .Urin��l <br />'__"'___Plain faucet insidc � <br />..""'___Sidc walk washcr <br />______..._Hn�c hib nutsidc <br />H b'b f I'I 1' <br />�:�.� r ��; '",�y <br />""'"'_'.. ose i or �w i mq pwpnses , .. <br />____'_..-.14nse bib insidc �y <br />_ _"".' _ _ Rib for stnblc contninin6. _ _ _ . _ . . .. _ _ `tall. _'.. ...._ /"� . <br />_.__ Numberof persuns in fnmily ( : <br />__-__�� Number of rnoms in building � <br />The prcmises nrc tu be uscd as n____. ._________.'________'_ <br />Thc rnvner o( the premises is __. __' _ _. _ _ _ _... . -__.__"_ __.._ <br />_____"____. <br />Theagmt is _"'..___.._. <br />..._.""__..._ _.___"..__.___________"" <br />This applic�tinn, althooRh signrd, shall not be binding upnn thc CitY� unlil ac� <br />�•d by Thc Superintcndent n( 'nlu'ijjparli t <br />/ / <br />Signed_'_._ _. ._'_._v�_c_. _ __. - __ -�,APPlican[ / <br />_ <br />� � <br />Accepled�_�_ f!� ._�jl)I.� 14y.." - -'" �'"S.�Vv!nnndnn / <br />f- <br />