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. � r/�i4. Y i, I,, <br /> „ w. n.,F����.� . is... . . .;c.t�. k,. � - . . '7 - �- - � - <br /> CITY OF CVERETT==`1Vater Depnriment <br /> Application for Water <br /> AII bianks must bc filicd in nr crosscd out <br /> � <br /> r,���u...__ - -GGL2..� /_ /_.i�� .y <br /> rn •rnr•.suriae����it�u�:�r or• •rma wn�•�ai uer,�u�r�u:Hr, <br /> CI"Il'OP 1 7IiRIiTT: <br /> .i au u(l'6�ereby appic fnr the�ue of w�a�er in necordancr uilh Ihe rules aud rcguln- <br /> 1A.�ter U:p;irlm_nt. (nr purpuscs and fixtures stafed bclow. <br /> DurinK thc lime Ihat :my�of thc u•:�t�•r wains mac bv inkcn up by rcason uf <br /> unc imnmvemenls aulhorized bc Ihe(:it}•o( licerr•II.in nr o( an}� strce� nr alle�� in <br /> �,ehich lhcy m.iv :�ivc bcen hiid. Ihc iilv a�ill rn: be rrquircd �n (iirnich watcr du:inp <br /> the prntiress n(sudi imP�'ovcmnnta Io g��y i�nn:'untrr �chnse supplr nmp Ihns be cut <br /> ��ff. nr bie liable fur any dmn���Qcs fur ils failure ;o la du. <br /> rApplicnlinn No..��_/_� "_" <br /> % <br /> BIncA _�-�� - Lut_. �� .2-�, 1dd � -�- <br /> __. <br /> "_'_'_' <br /> � ._____________ ___ <br /> ���.LO.L.D_ _�_��e r.e. � _ s��,•��� <br /> - - - --- <br /> - -- - -- <br /> - -- - -- - - --- ---- <br /> 'fhe�rurk to be eseculad bv. .� C)�i.��.C��_� �'�"Pluntbcr <br /> ' _"'___"__' <br /> Siaty�size n(Inp. <br /> .,�a��__�r:�„ i„bc insorird in lhc nu�in. -� tn <br /> ,.�J� �v��-� �>. <br /> - �_. 11'ater cln�rt ��' ��'� �. : . <br /> _' �_ _ Ralh r�j%/���.���� � . <br /> __. _. .Urin:J /� 1•/!I� '�1� , <br /> L " � � <br /> -. '___._Pl:�in (aucet inside '-� , 1Q I� <br /> ..._"_'Side�valk �cachcr 'y,l�j �1 �� j ,. <br /> _.. ..___IluzehiLoutsiJe � �•'.. <br /> � {Bf_.t" <br /> .---'___.Ilnsc6ib(orbuildingpwpnses � I��. <br /> � <br /> ------" 'Hosc bib insidc ���f Cs�'�` <br /> a..m-3.:_�;. <br /> _"__ "'Iiibforslablett�ntainin� _'_. . <lall <br /> __ _.__ <br /> '-"._._"Nwnb��r uf perc�q�s in familv <br /> _.�"_'Nwnbcruf�aoms in buildinp <br /> l'hc premises are tu hc usrd as:�' __ . . __. <br /> ___'___.' .._.. _.. ._.._ <br /> �'hc owncr o(lhc prr�nises is __""' .-...�. <br /> . __.__._._ . <br /> _ - <br /> Thc al:ent is __.. .. __..- . ._. <br /> ... _ .. _.__._'_.___ _ __.. _._._'_____ . <br /> 'fhis application,:�Ithnu�h si�;nrJ, shall nut br Uinding upuu thc Ciq'. until ao <br /> cepted b)' 7'he Superin�endcnt nf t! R'n.�.,�)epan�Ent. / <br /> ;/� f . <br /> . . SiAucd_'__"__"" ��':i1��Ji/!__-___9 lirmt <br /> _ ' __. <br /> An 'I � __79� liy;ql,. ��� <br /> �—�� '_ <br /> ___ ._. <br /> , ��i ! u-�nn�-..:.m___ <br /> � <br /> � � <br />