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. . .. , .<, - \- '�� G-c . �te <br /> 1•���W. D. Fonn 4 I500 d-L17 C.P. /�..-, „ �() <br /> CITV OF CYERETT==VVater Department <br /> �pplication for V6�ater <br /> All bianks must hc fillyd in or crosscd nut <br /> --�_—S� ---- --i�Y.=b- <br /> 'Jl`I'CII..--— <br /> –. ----- <br /> To �rrni su��i>ei��r•.witn�r or• Z�ue«�n•rrh ne!��vt���+sn�•, <br /> crr�' or• rvr:ee�"r: <br /> I hereby applv iur ihe uce of r�aler in accorJanre�cith the rules and regula- <br /> tiov u:"fhe \Vatcr U:Parlin��[. (or nw,oscs and fisturr.; stat�d below. <br /> UurinC [hc timc thal�w:;oi tl�c��'ntcr m;�ins inay bc t�kcn up by rensan ot <br /> �ny 'mnrnvamcnu authorizc<I l�r tiic Cit>"ill,nnt I�e rc��ircd to�furnish�vatcr�dur.n� <br /> n�;iirn ti�ry mav havc becn I:iid. tiic Cil)• � <br /> tne oruqress n(such imProrements to any consmier �chnee supply ma} �hus be cut <br /> n(f, ��. bc liaulc (or any clam'�!e> t��r it. iaiiurc w tn do. <br /> ApPlirntion No.__��--�,',-'--_. . <br /> - -}- ��"_""__.Ad�L"'__"___'_'__'_'_ <br /> 61ack _._.cF �l�'._.-.I.oL'__'.- - <br /> r �_.��Z.��7cC.r.._.'..'__..SUee[ <br /> ��.--. 3-�/ <br /> _ ..___ <br /> - -------- - - - ----- --- <br /> -o-- -- - <br /> - -- - <br /> The �rn:ktnber�erutedh}'---______'__" -_._- <br /> -_- __--_-- P1umUer <br /> sl:LLc srzc ar�ip. � �, p _... . <br /> � � ` <br /> 9 ap tu bc inscrted in thc main. <br /> /Y �_._��':�tcrdoset . � . <br /> �., .r 1 � <br /> -'_-�-_ 6ath �f.�y' 7/ �1 �'�` . l <br /> ` � �, . � <br /> __ __ _Urinnl � , . ... � . <br /> .__Plain faucct insidc <br /> ____'_ _Side�valk�rashrr � p .. <br /> . \ ��.,` .. . o,U.y . . <br /> I'/- <br /> '__'__'_-_Iio.c bib ouls�dc � . <br /> ___"__'_-Husc 6ib farbuildiug Pwpnsrs ' � �. ; . . , . <br /> "__"_"'"lL,sc bib insidc � -... �. � � <br /> _"__'._'-13ihfm'slablecontaininF-_--_-..-.--`talL_. -..-. <br /> '_"__"'Number n(pc��ons in tamily <br /> -�__"'Kumbcr of ro��ms in Luilding • <br /> a5a_'__ " <br /> _ ____________ __ _ .... <br /> '1'hepremisesareto rusr __.__.___._ <br /> � --____'__. .. _.________________�___�-_ <br /> '1'hr oo'ncr o(lLc premiscs�s _"'" <br /> ThcaFentis '_"'_"_'-".""_"'__'_'_ '__"___"'_"_ <br /> "_______'___' <br /> �Plllti 11{)�)I�C:I11011.AIlIlO11F11 SI�;I1llI�SII:III not bc binding upon lhe CiIY� wltil ac� <br /> cePlcd Ly'fhe SuPerintendent o- ic Wnler De v�upe��. .� <br /> � !�(�Citi__l �_\�-`/ ApPlicant <br /> ,' ucd____ � -�------- <br /> !— . • �� � ---- :— — <br /> :lt:rp�ed. _C."�._'_'. . L9'(f/ Y- ' r-__"_'_' S�qertr.�..n'm� <br />