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t,>r< F,. , v �-,4 . �, ,f,.�. <br /> '�'. G. F'crm s ISOJ 3-1-17 C.P. . <br /> C(TV �F CVERETT==Water Department <br /> Ap�.�Iication for VV'ater <br /> .-111 Llm�ks must bc filled in or cro,sed ou <br /> v � � <br /> [ivcret[... __'__ 7/ // �. ."__"__'1911.._-. <br /> 70 'CHE SUPHRIN'PGNDIiN7'OP TI{E}'�'A9'GR DIiPAN"C\1HNT, <br /> C11'Y OG G`/GRIiT'C <br /> I hereby appiy (nr the use n(water in accurdance wrth lhe �ules and regula- <br /> tio:�;nf The LVater Deparu:ten4 (or purpuses nnn fixWres stated bclux'. <br /> Durinti the time ihat ony of the�vntcr mains m�y he tal<en i.p by rezeon of <br /> :mv imurnvemun[s authoriacd by [he City �d Iirerott.in or u( any �Urct ur a!IeY in <br /> �chich thry may h��ve been laid, the City wf�� not be rcqnired to lurms:� �vater durin� <br /> �hr prn;7�css of such impruvements tn any eonsumer whose supplc n',ny thus Ue cut <br /> ��iL or L� liablc[or an7'J��es(jar its failw�c so to do. <br /> ApplicntiunNo._" "'_ v/�_"_-/ <br /> � � ^' � 9� <br /> isi�,�k -- --r=�y�'�,:/5'---t.��-�/- _ �' �aa_— _.__ — - - <br /> - ' <br /> — — <br /> hu...___.�J-�.Y�-__l_ _'__ ___.__._._.'.___..Street <br /> .._ _. .._. __..__." ' _______'______ ._________'_______"_""__'_"".__"__ <br /> 'fhe u�od< lo be execu[ed Ly.__'___"_____ '..__'.__"._.."_""_ Plumber <br /> Stale:y/e u(t:�p. . .:' • . <br /> // ` <br /> . /___a'.'_"Cap ln Lc insrAed in tlre main. I' h i� v . <br /> Y � <br /> --/._N:ncrcla.rt ' � <br /> ' ___'�_ IIa�ih <br /> . _-_ .Sr+�.�l <br /> . ._.h�Plain (aucct insidc . <br /> . .___Sick-ieall:..x:u�l+cr <br /> _ _.�_Iloz,. 6ib uulsidc <br /> __._ ._.I�,�m I;h foLluuidiuHiu»y�es � � <br /> --..HnsFbilrirr�ide— / - <br /> __'-__Hiyt t ' I '>inR_�___��all._'._',C��., <br /> �- <br /> ..._ -Numhcr u(persons in (amily, <br /> t .y <br /> ._.____.Nmnbcr n(raoms m hmldinq ^ <br /> / f/ ` <br /> 'I�hcprenusesarclnhcused .sa'_/�'- ' �'j_� '_-- '..- . .... <br /> 'fherncnerofthepremisesis "'_l,//��LO__ / !�(i�._ "'__ �____ __. <br /> 'Phc aKent is ..""__"..__.__""__'_"_ '_ " ""'.""_"__'_"""'_ <br /> 9�his :�pplic.ilim.. .Jlhough signed, shall not be bind�c�upun thc City, uniil:r. <br /> , bl''�'he Superinlendent n(die \Vn�cr Uepar[ment. <br /> SiFned ._�_ �t��CV�..' ������"_""_'ApPlicanr J <br /> . � <br /> j /./..:._i..79Li' R�' .. ' _._.. __' "'.-__"_'___. _ F <br /> `j _ l0 �'� �, . -� <br />