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�f_�i�. .._ ,. . . . L' ,., , , , - v � l � <br /> \4'. I. Forri 4 ISCO 3-I-1 i C.f'. <br /> GITY OF EYCRETT==Water Depactmen� <br /> .��1ppYieatiora for VVater <br /> All binnks must bc fj:ed in nr crnsscd��nl <br /> , � �)U , <br /> lvcrelL...._ . -. �_�_�--.�-___.____. ___._'..__19�"-_-. . . <br /> 'f0 'fHE SUPh:HIN'1'GNll1iR"f O��T'I i WA'ClR UIiP.AHTn1IiNT, <br /> l'I'( OP fi`:L•'RF.7'T: <br /> I hereby applq for the use tif�vater in :iccordantt �cith the rules n. d reF��la� <br /> tinn:uf"Phe \Vater Departmant, fnr purpnses :md fixWros stated belom. <br /> During the time tl:at any ol [he w.�ter m:iins may 6e taken up bY reasun uf <br /> anp improeemenls au[hm'ized b�� the Ciq'of l��crclt. iu or o( any sVicet o: aP.cY in <br /> �rhich theY �»:�Y have 6cen laid. the City will no[bc required�o mrnish water durin�; <br /> the pru�ress of such imDrnvem�mts ln any consumrr \\'IIOF�' SOIIF�IC 1➢8V I�1115 he crt <br /> n[I, or 6c liable tor any dnm,iqcs fur its (ailure so lo dn. <br /> i `/ <br /> Applicnliun Nn.__f�.//-)[_"_"__' <br /> I31nck "___-_'G."_ _' 'IoL_" _-__ 1dd _ .. _ . _. .- -. . .- <br /> \o.__/��_o__._....�.___..___,. _ .Strert <br /> _""' .___._. _ __"'_ ' "________ _. . ._"'_"_-____ _"'_"_"_"____'_'___'_ <br /> � 'fhc�curk ln be esecuted by_.._.__________ _. . _..._-_-_____—._ Plumber <br /> Stalc s'z@ u(taP. � <br /> / r � /C') O v <br /> ��LTap tu 6c inscrtcd in Ihc ntain. <br /> __'.__'�__11'atcr cln=et <br /> _"...�..[3alh <br /> � <br /> .__._..__ .Urin:d <br /> _ __. -YL:in Lmcet insinc <br /> __ '__Sidc walk wa:4�cr <br /> -___��._Hose bib nuleiJc <br /> ___'_ "'.Nose bib fo"buildin�;pm�pusc+ <br /> __"_ '_'Huse biL insdc - - , <br /> .____' ___I3ib(orstablccontaininF.___._. __stall_.. _.__- :�� <br /> i , <br /> __._ _. .__Numbrroi persuns in (amil}. <br /> � ._..�__'Numbcr oI rooms in builJing =� <br /> 'P6e Pre�:iises are to hc unrd as a_. _ _____."__._. ./ ._/`p - <br /> '1'he mvneroi ihe premises is _r._._G��G'(Yu �`���-"C�Q,< [.�,_ <br /> ____._.__- _ <br /> '_'_'_"__ . '_. <br /> 7'hc a�en[ is .'___'__' <br /> . .-- ____'__"_'_' "_ ' '_"_______. _.______'_ <br /> 7'Lis npplicatioq althouqh signed.shall not be binding upnn Uie City. unlil uc- <br /> �cpicd b�� The Superinlend n a�the 1i'ute�' Ui��/r�uJnend. � <br /> Si{;iird __��`���C/__V_v I.!��� _Applican[/: <br /> l, � <br /> __ """ <br /> ptrd �'��_��--191 Cp._ �'r - 1,� - _' <br /> i� ' Sn;•rimrn^em <br /> v <br />