Laserfiche WebLink
. �..,. �, �e. ,s„_„X_,,,,� rl - � b-,� rrY � � <br />�- . . <br />W.1). i+orm 1 -IL00—F..P.Co: -F-2621 . ' - <br />City of F�erettrWater Department <br />AP�'LICATION FOR WATER <br />Alt bl:�nl:s must Ue filled in or cro.sed out <br />livcrelt. ............................ �.�I_�......................_.....192..r�'. <br />TO TIIG SUPERI.�'TGNDENCITY OP F.VEIiI TT;nIiPAlt'Ciliti\T: <br />I hrreby npplY for thr. n�e of �sater in ncmrdance with the rules mid regu- <br />lution=� of lhe Nnter Depar[menl, fnr purposes and fixn�re= stated bclow. <br />During lhe Limc LhnL nny oC lhe e'ater n�.nins nvq• bc tnken up Ly renson <br />of nnS' ���'Procements nulhnrized Uy the Citl' at F.cerett, in or of miy sLreet or <br />nlley in ���hich Ihcy may hm�e Ucen Imd, the City will not 6c rcquired lo furnish <br />�v:LLec during the PTogress af �uch �mProvemenls lo nn5 consumer w'hose supplY <br />Block.P' .............. (�b I,at ..'Q._�./...�'.'......._..... Add...iilure s� to do. <br />m�� lhus be j� ott, ar bF liable for :uU' dnnmges Lor ils fi ... .............. .... ..... <br />A dicatinn Nu ............. � <br />_.. <br />No..._...��. � �� ..�. .........1.�.,4�-��!'�-5+1/ .............Stteet <br />_...... .. ..... <br />U . -___.... <br />.. _._ ........... ......_ � <br />The work lo be execut�d U).-.--- � . .__..PlumLer <br />$t te cize of tnp. <br />� U <br />"� _....Tnp to bc inscrted in lhe main. <br />.... ....... ����atcr closet <br />' <br />................Bnth <br />........... <br />.....Urinal <br />................Plnin fnucct in=idc ����j <br />' .._...........Sidc �vnik t�•nshcr , � L <br />.Y .. <br />__............Ilose bib oul�ide <br />0 <br />... _.._......Hn=e hib L r huilding Purposes ,� � <br />...............]losc bib insidc <br />................Bib tor stuUle wntnining....................stnll................_.. <br />.....�..L Nuu�:�cr ot persons in fnmily <br />...'!....__Nu'.nbcr of rooms in building <br />The Premi��es nrc to Ue used as n . . . _ � -�-� � - - � <br />Thc o'ancr ot the pretnises is .. ..�'�`''-' -. e °"'.�"-. .-. <br />Thcagent is._....__...__............_..__.._._ .......................__.._........._._........_......... . <br />This nPP��cntion, nithough cjgned, ahall not be binding upon the Cily, until <br />aceePted by Lhe Superintendcnl of lhc Wn?�' llepnrtment.,, <br />_y <br />cigned ................._.................�.�...:. ' ._.... �APPlicant <br />....._ ..........._.. <br />Accepted...�.-�....'.��'.�2..._. DY._.. .. .�l� ....................... I <br />_� �. <br />t�intendent <br />