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n i .. � <br /> Y_�"-. T.l[I �i0.._�:.. '�..!...'............. <br /> ` <br /> NiUKILiE� l�t�ATER DISTP.ICT ��" ' <br /> ;t10HON15H COUIJN. WhSHI�dGTOh <br /> 5�� <br /> , APPLlCATIOIJ FOR \N�TER <br /> All bl:mks must Lr, fillcd in or crosscd out <br /> ' __�/w'ItiL. •1 .. � 1��,J� <br /> \tuhiltco, �1'ashmSton, _ ._. . ....... <br /> 'I'O TIIG SUI'ERiN'TL'NDBKT OP TI4L \TL'ICIL1'L'O lC4TliR DISI'RIC"1': <br /> i hrrcbc appiy for lhe. use of watcr in accordanec with lhc rules and mculations <br /> � of thc bfukiltco �Yatcr District. <br /> During thc tinic that anc of thc watcr mains may Uc t;�kr.n up by rcasou of <br /> uny impronttmcnt :urthorizcd bq thc Disiri^.t in or ot anr s[rcet, road or �Ilcy in <br /> �vhich tl�cy may ha�ro bccn laid, thc District will not Lc rcquircd m furnish a'atcr <br /> during thc progress of such irnprovemcnts to anp consumcr whosc supply may' tlius <br /> Uc cu: of(, or bc IiaUlc far ;my dmnaSc ior its failure so w do. <br /> Appliration 10. ...... ..._. �� , <br /> G��l�w--.../�.�_` ��-�~=.�. <br /> I;lod. _......_ __ Lot � .. ._._. ...... Add....... . .. .�_ _. f <br /> �//r _J�, ` ...�c_ Sv <br /> 50.. ._...1 ."".`"" '—�'.:t._,... fi' � ............_.. Strcet.._��� �..:_��G � <br /> l.. <br /> :_.L��-�` .fJ �..�h_�-� E_ _I�..._ _ <br /> __ � 0 S a.� -7 /3.�` /��� �� _�_ 1965 <br /> �, <br /> Sr.�tr, sizc o( tap: _.._✓���1.-....__.inch. �.�,'it;IiS=�W1�iCP �IST. <br /> 5 .......___.....__ ..__.____.._.has bcen recciecd �cith tLis apPlica[ion. <br /> ; n' �;1" ,, _....._........ . .........._.._. <br /> �'� r��{_ y�. �,�i�� ._.......... . . ......_......... . . .. Superivtcndcnt. <br /> � � [) � ` • <br /> llic premises are to bc used as a......._.-/�..t.�=....�r''��'`�. ..................... .. ..'...... <br /> 1'hc o�encr of thc oremices is._._....._... v l''y�!-�! _............... <br /> ,_�..� . ....... _ J <br /> ! J /'...._� .e t�.t.rt,_ L __............ _..__........ <br /> 7'hc agcnt is .v:...C..� J�'�"`��A�. ��� � .4:G'......... . <br /> '��,�C �j t��en_'�u%�,. �e �y <br /> This application, althoucl�� sicned, shall not U$�binding upon [hc District until <br /> arecptcd bp �hc Suprrintcndcnt of thr TL�kiltco �1��tcr Dis[rict. <br /> Smncd./ .._ ._.... � /_.. ././. . . . .../ Aroncr. <br /> ,(� / .._..... GY F4i. .c� ,_.... <br /> ny�.:/.��z���G_..���f.��:� J .... _ ... as��—� <br /> A��i�cptru . . ......... .....__, 19 . .. ny. _.....__.._ . _......._. <br /> ............ Superinlendcn:. <br />