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I <br /> � <br /> ;t <br /> �u. [,. .�,�,� . iaco.s-i-i�r.e, . ' .. . <br /> CiT1' OF �1'ERETT==Water L+ep;�rt�nent <br /> Ap�lic�:ti�n for Wa/t�r� <br /> :AII blanhs must be�l�ed in nr crossed ��r.� <br /> ._�_�-.— „ `. " / <br /> � Evcret!.. . ._.;�LG2�'.�.�(�;: .�_'_ _.'59.��.. <br /> 'f0 TIiF. SUPI>kiVT:itiDIiF'P±%p`rI1N. 1VA7'EI 1>51'.1R'1'MEVT. <br /> i 19'`.' ;iF E`/IiI2EI �: <br /> 1 hereby:�g�ly fo; i4e use o� r..^.Ir•in aro�dnnce witl� t!tc ruies and reyula- <br /> t i m+ni"I'I�e \Vater Uapartnr_ot. (•v P���"Pocc�, �c�J G•�.tw�es statecl b�•lnw. <br /> Durin�the Gme that.,.��. n:he���ater m',�ins may be Inkeu i,y Ly rrasun of <br /> :�nv i�ner„crmenis authontnd b7 :ar Cilc o( iS•�ercLL. ic or_if any street ��r alle" in <br /> ,.:iiich thev:..i�y have heea laid. the Gil� rvill nut i�c re4uire;l �d fumish u�aler d�!rin{; <br /> ihr Pro�rc>s n(auch imPrmc.��.��nts tn a.iy. .,;n:,_mer �ch��sc ��.:ppk ma�• t!ms I�c cu[ <br /> ��f(,nr Fc liable for any tianm'�res ���r it> ir.'Lii�so in d•�. <br /> � `� �� ' <br /> Applicnlinn Nu.'_ _'_ ' -- '-'- . <br /> i' <br /> � ' _ <br /> . , � A�id . ._ . ___'____' '_ <br /> Rlack _.- ' ' 'L�c ..""_"" _ _""___. .. <br /> _ _._' <br /> .��.._:..��l,jf �a...,.<r�..r(--- ----..scr,���i <br /> �---' -- ... __. . _ .---- ------�----------------------- <br /> "1'6en'uri: lobecxcaqcJhy ._ "_"'_"__ """'-'-_. _'. ._._. PlumLcr <br /> State/q��iz�of tap. <br /> `�l_:Z_' :p t.�br �n=_e�icd in ;!!e m:,i�.i. � / o o• <br /> � � f <br /> . . _.�_R'a�c. �. -t � <br /> ._._..-�-.Bath <br /> �_ <br /> .lfri�.:.! <br /> _���-Plain la; . . I�• <br /> . ._.._._Siue �caik'.vashr� <br /> _/ _ti���� �,�n:,::�,�a�• <br /> . _'_-_-:iose bd, iur 6uilJing pnr���.;rs . <br /> __' __'Hoscbibinsidc �_ <br /> _'_Rib(orsn�bleeoctaining . -._ _ - .�tall,��-. <br /> ._.._. �_ �� <br /> ___' _Numbc ni persuns in fnmil}. <br /> __'_'�"Numbcr u[rnonts m huilding <br /> 7'hePremises:�retubruscd :�sa'-_. .'_".'_'..-_'. .'_----._. "-" _---' <br /> 'Phemvneroflhepremi.=.esis _.._. .__'_""_-__ ...-_" -"-' _'_._._. <br /> ThcaKentis"�e- .... . _.._.------'- '---..- -...-'---. . . -------- <br /> '1'his n ic:�tirci. �dthough signed, shall nut hc binding epnn the Ci:9. until :c� <br /> �rPtcd bv' uperimenden the Vi�{er Uy �ar nt. <br /> t / / <br /> SiK�ned__..��Y,(�' ._. _. .. . ---. �__�AppJicant <br /> Arceplyd_ _[fY-��G '� Rv �/�����J.____ �, <br /> �����:��.� � <br /> L� <br />� <br />