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r� ,. _ ° <br />� . .- � , _ � �,� <br />w. n. Fo��:, 4 isoo a-i-n c. N. � <br />CITl' OF CVCRETT==Waker Departrnent <br />Ap�lication for Water <br />:\II hlanks must filled in or rruc�d ��ut <br />' <br />' — ��(-_`--- -- �:'fl' <br />:.�����. -- <br />- <br />ru •rnr: sui�eaiN'rr�ui v r rn��( u. �v�'rex urt�:�a�'�ntn'r. <br />c or• r•.vreF�"r: <br />I herehy apply lur �he use ��( ��'ater in aaordance ��•itli tlic rules aml rcF��la- <br />tu�, nf �Che Wat��r DeP�rlm,nt. Ln' purPrnes :mJ (stw'es statcd 6elu�v. <br />Durinf: [he lime ihat anp ui Ihe wmer mains may br t�iken up by re�son ��f <br />:mc impnrvemcnts nuth��rixed bc Ihe CiU' ��f E��rre.tt. in ur u( any strcet ��r alle)' in <br />�,vhich theY ����1' h;rve been laid. the Cily ��•ill nut bc requireJ tu lurnish u•atrr durin�; <br />thr pragress of such imprneements tn an)' cansumrr �cha�e supply may thus he cut <br />�r,l. nr bc Iinblc for :my d�m'��ge,.,sr`i,(r us' (�ilure sn ro dn. <br />:\pnlicnliw�N�_�J-�--� `--�___" .... .. <br />Bluck . " S_ �' '_-AJd . _.. <br />d __Loc---------- <br />� '--.Slrect <br />\a . .� Io09 i'�%:_'_"'__'_ ".. . <br />r <br />.___' ._'__'_" <br />_ _'_' .'__"_"_ _ __'__.. __.._ ___"_'_ <br />._.--. . . _.. Piumbrr <br />'I'he �rurl< tu be eaerutrd b>' --.'-'-"'-_ . _ . . .. - . <br />State: zeqf tap. �( '�J(O <br />�}�.�.�p to bc insrrled ir. thc main. /`='' -- <br />�Vatcr closrt <br />R:rth <br />..-�� .. Urin.l <br />. �. . _.I'I:iin (. ���'�t in<idc <br />__'__'-Side a'alk �aasher <br />__._Hnsc bib uutsidc <br />� . .. Ilose bib !nr buildinA Durpo.cs <br />. . ' � . _ _ _ I lose bib insiJc .�'� <br />_'_l5ibfmsta6lecontainin�;.-'--__._..slalL.._ _"" //� <br />.'__- .Number nt persons in lamily I� <br />�__Kum6m� of roums in Uuilding <br />. ..._._"' "_'.. <br />'1'hePremisrsarelobcustt asa_ .-. .______._._._.._. . <br />. ..__'_...._. <br />"____._ .. _.__. <br />I he uwner of the Prrnuses ts _.. ... _. .. <br />___-'_ <br />__.____ <br />'Phc a�;cnt is __ . .--'- -'_'__' . . <br />'I�his :ipplic:uiun, allhou�;h signcd. =_hall nut br binJiny� upun thc Ciq'. unlil ao <br />cc�;lcd by'fhe Superinicndetd uf Ihe 1V�ter Uepar �ent. <br />!' '�/ G� <br />gigned___�� " Gi!/��—�l-- . __.._.ApDlic t <br />Ac:oPicd �,..�/�- -�'l� 14e��!i�__ _..-..^rL,�-naer.i"_ �. <br />7 � %�' <br />