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Puna 1a81-w. tl.-e,M)Pdb 11-'ml <br />APPLICATION FOR WAER <br />All blanks must be nlled in or croased'd0t <br />r•Y <br />sIK <br />]llock(.. j��. l.ot.1Ad.......... _ Application Na�. �J <br />No....�✓. . ... street I:rmrtE�> % Ur.. tn0.-7 <br />CO. <br />TO TIhld SUPEA NTis'NDENT OF <br />f hereby apply far the use of ter inM1rcordanm with the rules and reg. <br />ulations of the b:ycmrtt {Val npany, for the purposes and fixtures stated <br />below. <br />During the time that any of the Company's mnips may he taken up by rea- <br />son of any improvements authorized by the City of"f,�verett, in or of any street <br />or alley in which they may have been laid, the Company will not be required to <br />furnish water during progress of such improvements to any consumer whose sup- <br />plc any thus be eat off, or be liable for any damages for iLs failure so to do. <br />The work to be executed by ...................................... Plumber. <br />State wise of tu7p�/ <br />Tap to he inserted in the main. - <br />..� Water closet. <br />... /..Bnth. <br />j �6 'min fnueet inside. <br />.... X. Sidewnik wnshcr.•b <br />.... )(..flow bib outside. lit <br />.. lfose, bib for building purposes. (1� <br />{6. <br />.... . Alose bib inside. <br />....)iy..Bib for stable rmd.aining...... stall...E'.. <br />.Xf .Cumber persons in family. <br />....Cs7. Number of rmmns in building. <br />99w Iremises are to he used as a ........... ............ .j........ ....... <br />'rhe owner of the premises is...... .................................... <br />The agent is ........................... ... .. ... ...... <br />Si;med.....-7.4Y,G.Y. l PPheant. <br />(Sec other side.) <br />-1 <br />