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1/; <br />Pam; IVL-tl'. ll: .,tlpl; n�ll=a1 <br />APPLICATION FQR WATER <br />% All blanks must be filed in or crossed out. <br />wl' <br />Block.......... t....... Add. .......... A p icnlion No........ . <br />` <br />t7�^/. ¢ <br />No........ +.� V:...Street Ever '!f!L%fr�.•••J.1110. �. <br />. 'I'O '1711d SUI'IniUNTISSll1iS'1' OP THEBPIsRl;'I' ' . TBIi COMPANY: <br />I hereby apply for the use of umt" in artmrdalom with the roles and reg- <br />nlalions of LLe Brerett Wnlrr Company, for flue Purposos and fixtures stilted <br />below. <br />During; ill,, little that ally of the Cornp:nl•'s uutitrs may hi taken tip by rea- <br />son of ally improvement, authorized by till- City of Brerett. in m' of all• street <br />or olley in wl;irb tbrp- uul• have b, Iai 1. the ('onrpnny trill not Le required to <br />furuisb water during progress of sr till a; coal tits to ally consumrr whose sup - <br />is <br />ply mac tlms Lr rot Illy. or Le liable fo jrtn�s Ru'c so to da. <br />ee <br />'file. work to be c e a l-d Ly.."Y.`...................V............... Plumber. <br />Slate size of Ur <br />�Tnp to Ira inserted in the main. <br />f \'titer closet. <br />...!, j�.Urinal. <br />/�('' <br />...✓//,,..Plain fnmvl inside. <br />tvnsher. <br />,�!!w`ilosc Lib mutside. <br />-,,,.1..liase. Lib for Lnildirg purposes. <br />.glow• Lib inside ^ <br />- llil, for stable vontainim•...... stall <br />.... . <br />...//.Number persona in fit] ^ . 1. <br />„-,M.Nnnr6er of roo o5, tm Lufldi" <br />'I'hr prmakes ar o Le o=ed it. ills ... ...... .......... y........... ....... <br />owm•r of the print, i+... ... .............. ................. <br />The agent is....... Sign, <br />..... .. ...... .. ....... <br />t Fignrd..0. -.. .. .... .. .. 1pphrnnt. <br />(Feu other Side.) <br />