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.r"F. . � rv-r'� ��._ii- �Z �. <br />.�. D. P:'.A 4 lE(0 d-�.-V C. P. <br />CfrY OF ��'�;RETT==11�ater De��artment <br />� Appli�atiog� for �Vat��r <br />:111 bl:mks mus[ • filled ir. ar cni/�ed ��ut <br />Gvcrett. /-. ^'``'J '/�/ --._ .'__'.. .._1`iiZ�� <br />/ "' _" <br />'PO'I'l1E SUPGKIN'PGNll1iN7' O 'I'IIG R'A'C8N UEPART1fIin'P. <br />(' "fl' OF E':GKGTT: <br />I herebY :�pPly Cnr tlie uee u( n�ater iu acc�udance �rith Hie rules and regula- <br />tiu:ia u( The VVa[er DeparUn �ni. fur purposes and fi�tw'es stated beluw. <br />UurinK [he time tha[ any ni thr waler i�.ains mar bc [aAen up hy rea=_on n! <br />.:nc improvanterti aulhurized bc [he City nf I3vc:eit. in nr n( :my sVeel ur alle}' in <br />�.ehich tivry nrq' hnvc hetn laid. [he Cih• �cill not hc required �u furnish water durin�; <br />th�� prnl'� �'�� ��( :uch improvements' to an)' rn'isuntrr whoce supply mxy lhns 6e cr.i <br />� dt, u; bc li :blc (ar any dmm;�µrs `�nr /iL; (nilure m in da. <br />:1Pplio�tion Nn."�SS f� ' <br />" __'___ <br />Rlod: _ _""' . . Lot_�-__'_""____Add_ _ . _.._..__ ._ <br />" �, <br />�,,. �i'�L3eC _ �!�-� — -- .. s««�� <br />_ --- — --_ _ — <br />'I�hr�curklobcexcculcdby._._____'___" ... __ _._ .____ ._ PWnthrr <br />ti. � tr iz uf �ap. / �� u-. <br />_� <br />3�__. 'Pap [u bc imcrlcd in the main. � � <br />_. _'_R':iter �lusrt <br />_. _ Rath <br />___ -Urinal <br />. _ _. _Plain Lmce[ insidr <br />_ _ _ _ _ _. tiide e�alk washcr <br />_. ___Hosc bib outsiJe ` <br />. _ . " _. .Hose bib for building p�vpuses `- <br />� , _. _ __.Hnsc hiL inside <br />„' i _..'"""_'Bib (nr slahle containinS. _'. '_ .. =cill. _ .. _ _' _' <br />� '___' "'_Numbcro(�•ernonsinLmiil�. <br />_' �_'__Numbcr uf rnnins in huilding . <br />'fhepremisesareln6rusrdasa._'. ____"-_____. __. .._.___ _ __ <br />'1'heuwnerofthePremisnis'__"--_____"'_. _ ._'____.__ ___' .__. <br />� . � .. The agentis _ ___________ _______________ ____ _____________'_.._ ________ <br />�� '1'hi� :�p�licatiun, allhougl� signed. shall not be biuding upnn the City, �mtil nc� <br />pted 1>y 'Che Superintrndent u( Ihe \Vn�er Uepm'��ncn[. <br />SiqnCVL-� (iV-�' _ . ' _ ' _"___'ApPlii':��nl <br />Acei�P�ed .�-1�_>._.l!YL'�2 By����. . _-_______.___ <br />Superinrnaci <br />