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RonaPNo, 1, �. ' X(y <br /> � ALj. BLANKe MUST BE FILLED IN ////� / (/� A i�IcRdoU vo„�!',,,� / /� <br /> OR-C800�[D OUT. : � ' . . No... .11. �f'��..�..V.� • �¢/ �rT <br /> , � . . . .. . . . � .,. ..9t�t � <br /> , �ITO TItE�.f�UPRRt\Ti:A'DR1T UF 7'tIF. EP}Ng7q• \\'.�1•r:u l;oupevy: 1:verett,...... <br /> . C%'�..��..................1 .� <br /> i : � �' � I hereby spply [or tho i�xu ot wuter in necardnncu witl� t6e rulex nnd regnlntlond o! U�e b�cerett R'nter <br /> COmpany, tor tLc pur�weee and Hatt�reA dtat��l �elo�v: <br /> , ' � ' The}✓qrk to be eaecuted by................. <br /> - � � .....................................Plum6er. <br /> N ne Tap b n9utr�tl.Oroa Out.(�• . .. <br /> !y..Tnp..tu be Inxerted h� Uie mnin. <br /> ....—......\Vnter Cloyut.. ............Hoeu Bib..for buildln <br /> .. g pur�weex. <br /> ........... 13uth ' • ..._.......Hoee ISIb..in.iide. <br /> � ............Urhial ... ............13ib..tor xteUle contnluing....... $tall.. <br /> ............Plidn Fnucet h�aldc. ............i1o. Pcrnoun iu tamlly.. <br /> � . ......... SiQe�vnik \Vnx6er. . The prendsea veei � <br /> �' n................ <br /> .........Haee 11ib..outxide. �-......... <br /> .. gign..... � �_ — t\ <br /> � ....... . ' <br /> .........""""•��\....... <br />