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:c. o. rt�m a iso �-,-n c e. W i/ <br /> C1TY OF CVERETT==1'Vater Depariment <br /> Application for Water <br /> AII blanks nms; be filled in or crossed nul <br /> _—_— � <br /> r,.���u. _ _ _ — — ---I2 R __is, y — <br /> TO 'I'IiF:SUPF.HINTIZ\DIiNI'OP'I'IIIi R'ATHR DCPAR7'\II:N'1'. <br /> l'ITy UP E`/HRE77: <br /> I hereby apple fnr Nie use o!water in :�ccnrdance with the nJes and requlm <br /> tions u('fhe 1Yater Uzpar�m�nl. fur pmpnscr ytd fistnres stated bclrnr. <br /> UurinR tFe timr Ihat :my o(ihe n�,ucr mnins mac be taken up bY reason o( <br /> any imprm�entenis nulhurized br lhe Ciry� uf Gcc�cit.iu nr nf any streel n� alley in <br /> �vhich they mav have been laid, �hc Cite �cill nnl bc required �n funncL aalcr during <br /> Ihr pru�;ress a(such imprnvemen�s tn nnp cansumer a�hnse ciip�ly may �hus be cut <br /> nlf.on c� liablc for auy dapm�i�;(/es (ur�Is f.�ilure so to do. <br /> .1pplicntinnNo.. _�_/-_O .�_.___-_ <br /> Nlnck ..___'�j___ ___'__I�.pL_'�'_ " '_ ""_ 1dd__.___ ._. .... .. <br /> �,,._ . 2..9_! .8 _U�c.r�.'o:v,_�i.t_�s�.��� <br /> - <br /> 'fhewnrklubceseculedby _ ...__"""'_ ____._ '. .. ._...__.. Plumber <br /> $�alc sizc u(lap. <br /> /2�_""1'ap lo bc iuscrled in lhc main. <br /> ..� ._____ll'a�er dnsM � <br /> . L."__.13ath , � . - +.--• . <br /> "�"^ <br /> . _ . __ .Urinal �1�_ • ` � i��. <br /> � � ( � <br /> _'i lain (a�xrt msidc / / t , <br /> .. ' 7��1� �� �� . ���': <br /> _._'_Side walk washcr � tl ;` .�,��� j ��1 <br /> -..__'Hoscbiboinside ��, ���' ��PJ �+17 �Q��' J . <br /> -__ ' ."Ilosc bih (ar builJing Purposce �� v <br /> \. rrr_]� ---- „�, <br /> ..__---'Husc bi'- inside . � .•- . . <br /> l i^: ' J':7 <br /> ,_.._ <br /> _"'14ih(orstahlecuntaining."___ . . st:�iL .. �'� •. '�1.� . <br /> �-'— - � . - ��`�� i'��� _ . <br /> ..'__Numbrr of prrsnns in familp � •. <br /> '-___"Nuntbcr��fronm� inbuildin , <br /> . The prentise;Are to 6r t�sed as a,7�� _____._'_' ""- �--1' <br /> f �/� .I _."" "_' """ <br /> 'Phenwnern(lhcDremisrsis .(_��:`-e'Q�_I'J' W�/_'-_�_.•"__'____'_ <br /> Theny;entis .____ ._ ...._ .___ <br /> ____-___ .._ _____._'..... . ......... <br /> l�hiti appliCalion.:dlhoU{�h 5i6ncJ.shall nal 6r binding upnn the Ciry'. unlil ao <br /> ,'epled 6c 'I�he Superimm��denjl n(Ihe 1VQnl�er Ueparime9�l. <br /> SiFned _�/.�' " 'A7.!r'�-C<c,`--�—��j�2V/'j�'.APPlicant <br /> �7 //�� �v�_ <br /> Aaccgt��d ,�. -�__ __.19}v/ 11�`/�.; � <br /> �l / ' �' _._.___. _ . ._ ._. <br /> /,� .,��i•i.��.:�-�.-_ <br />