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ALL I3LnNna MUST DE FILLED IN •✓%'�Plll to �N„ <br />OR CROSSED OUT. <br />'loll THE SUPERINTENDENT OF TIER EVFIt F.7h' WATER UO\IIIA\]': � � � � • � � � � • • I:Verettl...-7: <br />I hereby apply for the use of Water In acwrflauee with the rules anndd regulations of the 1.,orett Water <br />Contimuy, for the purposes and tixtures stated below: <br />t <br />The-Tork to be executed by.... . .. ..... ........ ..... ............ I <br />required. Cross Out. / � ,�,. ....Tall .to be inserted In the malo. <br />If no Teo Is <br />I 1 ............Water Closet.. ............Huse 1111). for building purposes. <br />......... _. Ilath - ............Hose l3lb..iudde, <br />—.—....... [Jrival - .... ............ liib,.for stable eontuining...... Stall.. <br />....... Plain Faucet ludda. ............ No. Persons in family. <br />Sidewalk Washer. The premises to be used ns a <br />.........Hose Rib.. outside. <br />Sign.....? L}/.�y.....7!J:/..... <br />