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w., o. Fo�«� ��suo a-i-i � c. r. <br />CITY OF E1'ERCTT==Water Department <br />Ag�plication for Wat r <br />:VI hlnnks musl bc IiIIcJ in or u'�ssrJ ou/� <br />t� � J' <br />li�•crctL � _-'-"-_.lA1CJ_.. <br />�� � <br />'f0 "I'lll: SL'PIiRIN7'IiNUP:N'I' OP'CIIIS R'�CI'ISIi UIiPAR'1'\Ilii<'I'. <br />CI'Pl' OP I:IIiREI'T: <br />i hereby epply for �hc use nf �rater in :icoxJance with'Lc n�lr= anJ re�;ula� <br />;i�mc �d'Phe 1Valer UrGmrUn �nt, fur P��rP��9es and Iixtures sL�ted belmc. <br />Uuring ihr time �L;rt ;+ng n( thr �ratrr mains map br takrn up b. frason o( <br />:�ny imprnven.�nts nuthnrized hy thr Citc ot liverett. in nr a( :m>' s�reet �a alirc in <br />�rhi<h lhcy miv haec bccn I:ud. Ihr Cily aill nat 6c fcquired to lurnish watcr durin�% <br />O�e pragrr?5 n( such imPrm�emenlc d� :�ny tonsumer whase <upply may Ih�is he cul <br />nIL ��r be Ifnble (ur nny d:��n�-Keg (nY ils (ailure so la du. <br />�1 ��/2� <br />ApPlicatiun Ru../_-- """ "-"'-""""'- <br />Rlud; _�O�_._ ,j Ut---------/G-/T---Add_. . _'------ --'- <br />,'�G .�0� 1(/i�iK ��..____..Sirect <br />\u._._...- . <br />�i �.3- __ <br />-- --... --- - ---- -- - - ------- -- - - <br />- _..___.._._. 19um6cr <br />'Phe x'nrk lo be ezearted bS. -. _' -. _'.'-__ ' _ _ __ _-'"' <br />Slale : ize a( Ia.P. <br />.��+"TaP ln be inserled in lhe main. <br />�__ _11'alcr dosu: <br />_ "___liath <br />Urinnl <br />� <br />_'_"_I'.:.in (aucet insJc �.� . l <br />, __.__.Side x•alk w.�sher \ �. �'8t- t� ' <br />�. � i <br />. ..__'_"Bn=ebibout.idc '��.`i`�'•._�:.i..� <br />'_Ilose bih fur bmlding pwprisrs ��' f" •� <br />. _ . _ " _ �l:u:`-,. <br />_ ' _ "Hosc bib insidc <br />_"_""JSibfurstablcemriaining...-' - ..-.sl�ll__. _ -- <br />_Numbcr ut pers �ns in famih <br />�__"'Number.a( rumns in builcling <br />'fhc Prrmisrc �re to bc iweJ as a_._'- <br />ThenHnctufthePrrmisesis_"'__." __... _.. -____-_'.___.__"_" <br />Thi.aFentis ____.._ ._ ______ __ _ __ ___ __"___..______.___ <br />'I'his npplicaliun. although signcd, �hall nai bc'oinding upnn thc Cily, un'il no <br />, ! <br />n�pted by fhe Superm�end.n�f Ihr, /�1VnV.r ,)eParlmenL . <br />Si6ned..L �l�l�ii`"�r '. '.__'_"'Applirant � <br />_ <br />i _ �. - 1 <br />��tccu;cd._�� �__ _ ."fl �Y��� '"_""""_""""___ <br />/ .. sur�r�ntencem <br />f-,Vf,��--� �i' I ' 3 J _ �_ � <br />