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_. .. /_ .J� I� t_ ' <br />• " v �i <br />W. 0. Fcy� � I500 YI- I] C. P. � "`- . <br />C�TY OF F1'ERETTa=Water Department <br />Appli�cation for Water <br />• <br />All blanks must be fil in or crosscd out �� � <br />— / / ( � _ <br />Frereu. __'._._ :'_.1�5�_ �.'___v".___._.191 y.... <br />T�) THE SUPERINTENDEN'1' O� TNE ATER Dlil'AR'PDIENT, . <br />CI"fl'� EVLiRG7'T: <br />I here6y npply (or ihe use of water in �cenrdance wifh tl�e rules and reRul�- <br />tions uf 7'he 1Yater U:partment, fnr purp.,scs,and L.<nu�es stated beloa•. <br />During the time ihat an>• of ihc w;iter mains may be taken up by reason �if <br />am� imprm� ments authorized br ILe City uf Gvere�t, in or nf am` sirtct or aIIcY in <br />which theV ma)' have bcen I:�id. the Cit)' wili no� be required In lurnish waler during <br />Uir prugrc.s �d such imprnvrmcnts lo any consumcr whnc� suPPlp maY �hus bc cul <br />�d(, ur br. liablc fnr :uq� dnmaK�s fcr its (�ilurr se t�� do. <br />(' <br />Applicntion No.'__'__.�U_v._�_'_ . <br />lilock ___�"�`1._ _�____._ Add.�?�r ���:._ i <br />' / '__ ._.._.___?.'__ <br />\n.. �'/�-Q O J �-l-P/iL�/.'_".Slrce[ <br />� ____"""_/__. <br />__'_._.___'_' ' __-____ ' - �/_/' _ _"_____ <br />. . ._..._.L. <br />__ <br />1'he work to be rxeculed h}• . �"'r�G'f_-LT -'� "'--- Plumbcr <br />' � <br />-..:.__. '__ '_..____'__�'1- ' <br />. ' i �,., <br />Sia�eizc o[lap. �'� �� <br />/ q <br />_. ✓_�'_'Tap to be innerled in �he main. � /��J� �� ,j{ <br />__ <br />�""'lVatc� closM i�� � � 1/ ",/ - <br />._ _,_._._I3nth .-,/J � � // . <br />Urinal - �-- V <br />..________I'lain fancet inside <br />___.__.Sidc walk wnshcr <br />' _'__._Ilosc Lib oulsiva <br />_"'_'_"Hose bib far L�iilding purpiscs <br />- - - _ " _' Hosc bib inside <br />. _ _ _' . _. _ 13ib !nr stablc containinK - - -- -... ... _ stnll. <br />. . . .. _.. _Nwnbcr uf prrsons in lamily � <br />.. _ ^'�f-Number o(.rnm.is in huilding . <br />Thepremisesarclobcu.edasa____.__..__ ""'""'"- <br />________________________" __._" <br />7'hr a�cncr ol thc prcmiscs is __"' __"_""'. -' <br />_.__"___"_'__.__'__'_' <br />The agent is .. __. _ .. _ .. . � <br />"___'_'_ "____'__"_'_"'___'_"_' <br />This appliCalion, allhough 51Kncd. Shall not be h: ;�;ing upun thc CitY, �mtil :. <br />picd bY'Phe Superinten,icn�ie 1Vnle )e�rlment. <br />S/ii'�ned.__ _ 1.._.n_.�����-ri�Appli� :.i <br />Accrpled�� �. __,..l�ll �1 Ilk���' _ ... _ _ _ <br />� V �u��•nm<ne.ri-- <br />� <br />