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�,_ .� �... . w .. • <br /> Fn'ro -.r- il LU - C , = ,�i �� 5-3-2`�`. ' !/ <br /> �c. o. ro���� 4 isoo a-i.n c.P. � <br /> CITY OF CVERETT==Water Department <br /> Application for Water <br /> :111 6lanks nu�st be filled in nr crossed oul <br /> — � �/ <br /> ��.3 _19fi"--�`-=� <br /> Gverett.___'_______.-_'_"" <br /> __'_.______ - <br /> T�� 9'f1E SUPISR:N'�LNUi{N7'OF Tfili �VA1'BR UEPAR7'D1tiNT. <br /> CI7'1' O[� H7GRE7'T: � <br /> I herehy aPPIY (�rr Ihe use o(�caler in :�ccnrdance�cith the i'ules and regula� . <br /> iinn;nf'fhe Nater Ueparun•nt, (nr purposc: anJ Gstw'es stated below. <br /> Uiving the [ime Ihat anp ni ehe water mains maq b� taken U� VV TC:ISO�I U� <br /> ;iny iinP��ovements authnrized bp [he Citp uf Gcerelt, in or o( any strce[ ��r aliey in <br /> w;�ich they may have been laid, the City will nnt be required to furnish water during <br /> ihe prnCress o(such impro� •nrcnts tn;my eonsumer «�hose snppiy may Ihus Ue cut <br /> nff. or bc liable for any 7dam:i4�•+inr ils failure so to do. <br /> APPlicntiun No.._./_-�` �D, <br /> _ '_'_""-- ' <br />' 131uck _'_"-'__' '-__'Ln[.___ _'�_� e/� � � � e1�d'-'____"'__-.."-- <br /> _' <br /> \n..�_7:�--J- -.c�-'�-�"__'"'�--��-----.S:re.^t <br /> ------ -� ---- . __---------'------------ <br /> -- <br /> ----'----------'- 5 <br /> 'I'heworkloheexecutedb'.-__._.._�.�C----r_�%.___________.____ Plumber <br /> 5[atc sizc of tap. <br /> 3 � �'Pap to be insrr[r.d in thc main. __ <br /> f ��J� R'atcr ciuset <br /> ��_�/___.I3alh <br /> • / � �. J <br /> f_ .Uf�il�� ' <br /> � <br /> ___ ___.Plain (:mcet insidc i <br /> . ___.___.Side�+'alkwasher _._ <br /> ._._...-_Husc bib nutside <br /> ___ ...11osc hib (or building pmpo=r� <br /> __ ._�____Hosc bib insidc <br /> __ <br /> ,_ <br /> ___.__... .Ribtors[ablecnntaining...._-- ..-,ta __ '-.._ <br /> _. ____Numhn�of Persuns in (amily. • <br /> �� Number of raoms in 6nilding <br /> _�___' / <br /> 'Ph^, premise. are to be use/d � a�/.�_/_/�f.�_---_�-%�j_ .___.. <br /> l'ireomncru(tLcPremisi.y+ s�._v(Gr:`-'- i�/,-- L�L-_-.'__'__"__'.. <br /> 7'hca8enlie ."__________ ______________ _.�_._'_'__..__'__-'_-_ <br /> This apolicntian. althouµh signed. s-hall not bc binding upnn Hie City, un[il ac�� <br /> i hy'"Che SuP�rintendcn[o(-lly�-.Nnter rparqnen6 _' <br /> SiFned �:l�f.��,. l. .i'l� '.... � . <br /> ---.."______ _____ ____ _ AP[1� t <br /> . h,,tY( � [3� �� � � f�- //,'=//--n- <br /> ' �-�-�—�-•7 G�i�.-.�_�•i <br />� <br />