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f FORM Nu. 1. .yA c o!4� 3 /.� �I .4r/ <br />•1 ALL BLANKS MUST BE FILL6C!;r _ & — ////�,�(j/J� / /J� pplivatloll�vO.... Y ..!..a.... <br />.. OR CROCKED OUT. No.. Z-.._ g�, J• .. ..��/0............. <br />�1lreCt. <br />Everett,_ a"... 15!I� <br />a�; • TD mF: nHnrRutxa• <br />ml anesT o ne Isvenr:rr Wnmeu CoMn•nvY <br />I hereby apply for the use of water lu accordance with the rules and regulations of the Everett A'ntur <br />Company, for the purposes Bail fixtures stated below: <br />The Ydrk to be executed by ....................... .... ................. .......... p tuuber. <br />I It no Tap Is required, Cross Out.(><• 11 <br />.!r Tnp_to be Inserted ]it the main. <br />...........Water Closet.. ............Hose Iiih_tor building purposes. <br />........... Bath - .... ............Hose Ilib.Anside. <br />... _...... Urinal - .... .... ...... Illb.. for stable eantalulog.... <br />...Q?=��. Plain Faucet luslde. ............ No. Persons In tinnily. <br />. ......... Sidewalk Washer.. The premisos to be used as at... <br />.. 40?fi...Hose 1111) outside. <br />1 Sign ...Y. !..' . ... �!T.C... . <br />