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F.m, PCL W. 11.-2,11111'-P*I1.1n <br />APPLICATION FOR WATER <br />All blank@ must be filled in at ttossed out. <br />Q 3d 0) <br />Ilhrk. ..���/j Inl_.. :. ... Add............ Ap�pllivellnn No..........,.. <br />So........ G .. tl... Stop" lirrmttI ..//!.��.1'J /. ...If10!� . <br />TO Tllli Sl'1'hlt . UNDENT of TIIIi h:YHIMIT WATF.f dOMPANYt <br />I herrhy apply for flip time of tenter In alronlnnrn with the rules snit mg• ` <br />Illation. of flip Idrrn•IL Waler Cnmpony, for flip purpl.rs and fixtures Plnlnl <br />When . <br />During flip tlmr [hotany of the I umpnny'm mains cony Ile token up by rem <br />son of nny itaprnrrmmtil. aalhurimd by the Pity of Everett, in or of any Wept <br />or nllpy In wldrll flip t• may have been Inid, the Co nlmny mill not he required In <br />fund.h water during progrem. of Puri I nprovvomntm to tiny commoner whops map• <br />ply only them Ire rut off, or Ile liable for any danmllrm for fix fallore mo to dn. <br />The work In he eseeutrvl hy...................................... I'hmdMr. <br />fitate mire of tap._/ <br />. .".Y.Tnp to IN, inartnl in Illy arms. <br />elo.pt. <br />.. .flat h ....X..l'riont. <br />.... L.. Plain fnllmt i"41P. <br />.....!1.1{dru'nik wnmhcr. <br />mltmide. <br />... X..Ilomr LIh for holiding Imrpo. %. <br />... ..IInPn bib itoide. <br />.... X.Atih for Idahlemntnining...... mull...... <br />....... .Monber per.ons in family. <br />....?... Stm ber of room. In building. <br />'1'lu• prenlbe. me.- to IN, o.nl am s..- <br />Tlu• oft-nrr of Ihp prlmdme .�.... . <br />Thp ng,ad I. . ............... .... ...... <br />tags A.. �• . ......• <br />I..re of It mldn.l <br />