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.. . .. . . . /.- - __ . . . . . <br /> . . e <br /> ..". D. Fcnn 4 I500 0-I.V G F' <br /> CITV OF CVERCT�'==Water Department <br /> ���pinca�tiom #'or �VaYex <br /> AII blanks must be filled in or ccoied nul <br /> G�•erelt,- _'-_"'_'_ ___""�-//O_-____19�-� <br /> "fU 'f1llt 5UPI?RINTL•':�UI:N7'0�THE\VA7'I:R DEPA2T\11iN7', <br /> C17'Y OF L•`iGRETT: <br /> I herr.6y apply Cnr the ux of�vater in:�ccordance�vith the rules nnd requla� <br /> ti-�n;u("Phe Wa[er UaP�rUn��nt. (or purposu. and fis[ures stated bdo�v. <br /> Dur;nit tl�e time �hat nny��( thc�vater mains may be taken up US r:nsou u( <br /> any intpruvenllnts authorized by thc Ciq•of Evw'elt.in m'ol anY stree[ ��i aliel' in <br /> �chich they mey have been laid, the City e•ill not be required to turnish water durinE: <br /> ihe pru�;ress ni such improvements- tn any eonsumer wlmse supply maY thus Ue cut <br /> nti, ur be 1in61e(nr an)• dam'iqes for its failure so tu do. <br /> :lupllcn[iun No.__�--�-`-.�-2-'-'�"p—' <br /> q 7� �_f.'�-4__'__. _____________ <br /> It:ack .�v'------ �"-- -Lot--- Add--------- . <br /> Xn..____'__._'��U�?-_ _ ____ ._ _ � SVect <br /> '_ _' .'__"""____' ' ._'___'.... -.._"'__"_"' '__"_'___'__'" <br /> '1'h^«'ork to be executed Uy.-_------' _ Plumber <br /> __________________'__'_-_ <br /> tic�:c size uf tap. � <br /> �i , 1 t� °� <br /> �v_'T:iP ta Ue inscrted in the main. .,Y � <br /> _�___'W:u cr du:e[ <br /> _..1....[iath <br /> Urinal <br /> ____Plain faucet insidc . . . <br /> .____Side wa!k �v.sher <br /> . ._.___Huse biU o•risidc <br /> ________._Hose 6ih foc building pmpuses- <br /> -._---Hose Uib inside <br /> _____.___UibforstablecontaininF.__--__._ stall_. - _.-__ <br /> __._Number af persuns in family <br /> ._._____Num6crn(roo�usinbnilding . <br /> 'ChePremi:esaretnbeusedasa__ - ___'_..__._-_ __.___ _--.. <br /> . . .__..________'_".__... <br /> :'hemvnerofthePremises�s ______________________ <br /> 7'he a6en[is.."___.___. __'_____.'.___ <br /> .__-.._ .__-_'____..___'_'_'_._ <br /> - 7'his application.although si�;nr.d, shall nut be binding upon thc CiIY. ur.til ac� <br /> , epi,�d by The SuperintcnJe���f�[h/e Nnter Departurenk � <br /> Si�ned_.�—\ .-Iti1�...1- . __ �- .___,__Api'licant <br /> .____ ____ _ <br /> / �., (}� ,� { I _.��_ �� <br /> �<<����i�.,i lG-�fi'-- ��' �iy — — <br /> —s����;G����,;��: <br /> � <br />