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� ^�','l� S , .. _ . ._ u . . . _ .r �- <br />_ , � <br />W.D�Fum� ISCGJ.bI]C.P. . . <br />CITV OF EYCRETT==�Vater Department <br />Application for Water <br />:\II hlanks nu�st be filled in nr cruc�ed uul <br />Iivcrelt, 2._.l._.191�r.y . <br />TO'1'lIE SUI'IiRIN"PE,iUIiN'1' OP Tllli 15'A'1'.R Ulil'ART\IEN'1'. <br />CI"I'Y OP fi9I:kE7'T: <br />I hereby apph• for the use nt ���ater in accordan.c with ti:r i�Jes and regul:�� <br />ti:ina af The \Valer U�pnr[m:nl, (nr purP�»�s ;md IicUu'es slated bclu�c. <br />During Ilic timc ihat ;iny of �hc walcr mains inar br takcn up by rca<on ��f <br />:my imprurements authorized b�� �he Ci�p u( firerrl�, in or of any sirccl or alley in <br />whidi they m;�1' have been IaiJ, the Citc wili nut be nquirrd to lurnish a•ater during <br />thc prngrecs nf such imProvemenls lo any enns-umer �choci� siip�ly niay Ihus be cui <br />��if. or Le liable fur any d;mia,�;/ez (ur its failure su tu dn. <br />ApplinLLinn No..��`Y'"l""_"p' <br />I11utA ._ '_ __ _ .__._Lut ___0,�.9 Add____ <br />� �l� ..____...____.. <br />\a._ '_. .,�{i(�a,.�.._��_.__. Street <br />.___..._....___"" "'._"_ ...._"_"_'_""""""_ """"""' <br />7'he�cnrktubcesenuedhp _______.___. __.___ .__._ __ __ Plumber <br />Statc sizr or tap. � � p o <br />3�`� j - <br />/ _.'1'np [u bc ins��rted in thc main. <br />... /.____\5'ntcrclnsrt <br />'_____flath <br />_ .. . . . . Urinal <br />. _....--.Plain faucet insidc <br />.._'___Sidc walA �e.shcr <br />.__ " ._Ilnsc ib uutsidc <br />..__".-__HusebibfnrbuildingPurpnses I ; <br />'_" '_'llasc bib insidc . <br />___'___.13ibfnrs�ableeontaining._._ _.. .tall. . <br />_. <br />.._' _"'luntbcrofpersunsinfaniil�. <br />. L�.__.Nunibcr of ronms in bnildin�; <br />TLe premiscs arc [n he useJ :�s :i .. . <br />_____..___ "'____.__ . <br />7'h�� u�rncr u( lhc Premises is ___'.. <br />._'____._. _. .._ <br />_ _... <br />_"".. <br />'1'hcaFentis "_' ..._ ... .__" """"' '__ <br />.. . _ .__.____. <br />This applinlinn. althou;;h si�ned. slmll nut be binding upnn the City, until ao <br />crptcd 6r Thc Superimendcni uf ihc l5'ntcr Di� irlinrn[, i , <br />. /` '_/ <br />Signrd�l_._LC.I_ Q�O ji•t� / <br />'. _ ...� Applitant � <br />,,�,�.:���.�i_ G-_ �7 . ,�n� �,,�•� �� <br />/- _ �_--- .�.�,�:.. <br />