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tillvolt$' yu. 1. <br />ALL ill.wNxe MUST of FI LED In <br />OR CROSSED OUT. No.... ..VYr r... ...dal .' 0. .`. ....Street. <br />.� F.veretf,....... .............. Ifill f <br />'Po T11 F, tir1l•IiRI S'f IS\11231T of Ti[F F.P EIi P'1'T WATER t.'O?t ]'A\1^. <br />I hereby apply for the use of water in accordance with the rules and regulations of the Everett Witter <br />davy, for the purposes sad fixtures stated below: / _ter ' <br />If no t'hc w k yf lre executed by.... .....F... . _ ... _ .... ...... _ _ ..... I Inmber. <br />onn, <br />Tap Io required, Cross Out.[ ' ..Tap .to be Inserted In the multi. <br />` ............Water Closet.. ............Hose 1116for building purposes. <br />e ............ llatb - .... ............Hose RIB. Inside. <br />............Urinal - .... ............ Bib ..for stable eontaluing.. .. Stall.. <br />i ......... ...Plain Faucet inside. _......... . No. Persons In family. <br />........ Sidewalk Washer.. The premises to c used as a ............... .......... <br />.. .........lioec ]Sibs oateidS � ✓iv '^' �--� <br />Sign..... .., o <br />.... .......... ............................... <br />