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ALi BLANKS MUST BE FILLED IN '`�I��' �iG4(%t ...... `Stlect. <br />Na...r/ w ... <br />on CROSSED CUT- <br />/ nQ <br />zerett <br />tl'o Tore SUPPHINTENmex•r or •rue 13rtsaeTT WATt:a COMPANY:I hereby apply for the use of water litaccordmwo with the rules Sadregttlatimts. of the Water <br />Conq,auy, for the purposes and fixtures slated below: . ..........Plumber. <br />ork to be oxecated by ......................... _............... <br />IfTopTon 1. rcervI,ed. Cross C.L f! E3�i —.Tap—to he Inserted in the "'Rill <br />_._...Water Closet.. ............Hose Bill for building purposes. <br />.. Beth - .... ............Hose 11111 .Inside. <br />.. ... Urinui ............ 131b..for htnble eoutaluiag.. Stall.. <br />_......- .... � <br />............Plaiu Faucet inside ............. No. Persons In fanny. <br />. ......... Sidewalk Washer— The premises to be used as a......... <br />I .Iioee BSb..otttside. <br />i <br />