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Form Xo. ta. �5. . Q � <br /> .....�. .�AI�Dllont �n �in... .. <br /> �'�r7 _ ' _ �l�� _ ��� •� <br /> /�N� ect. <br /> No.... ./,-.......... ......... ��`�.,.,/,�.......6 <br />- •- UL Lf <br /> lircr��tt............. ..... '.. ....................;,r�0.�� � <br /> TO�,TIII: gl'I'IiRi?�1'{:NDE\T OF TIIIi iiFPRI's7'T \PATIi1[ CO\1PARl': <br /> � <br /> �.��. '.��li�r�bc nppiy for tLr� uee nf u�nler In arcordnnce n•Ilh Ui� 1'11IC9 nn4 �rF�ilatfona ot Ihr P��rrM.l l4ntrr Compnn}•. and reqr�.F! <br /> :.' . ' <br /> ihni�_�t...Y , inrh tan Ln ine��r[rd In Oic m�dn nt Ihe Plarr nbocc slatril. <br /> The plumbr.r �cho clll do m5' �';�rl: i�:......... � , <br /> � �`..�. . ................................ ......... .. . <br /> ....... .. ....... <br /> ' • U�'�.l�Co z - v . <br /> Thr aw�n��r of thr Urrndces I�:/t. .......... . ............ ....�... .......... .... .................................... .. <br /> ' Th� nRrnl 1�:.............. � � - , <br /> ................U. .............................. ................................ ............. <br /> Thrl�nnnt is.......... ............ .... ......,................... ................................ ............. , <br /> ' d/q�� <br /> The �cntrr rent nhnn7d L� rhnrSeJ to.......K............ ................ ....... .�..,�J. .. .. / ,'�/ ................ . I <br /> 9tl:ned........./.. .CtiL�....J..�..���/ .�[:1'..... <br /> ............ .... <br /> �Ec� nUi�r Sidel. / APPlicm�l. � <br /> l <br /> 1 <br />