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Fam 14_ <br />Everett Railway, Light and Water Co. <br />Puget Sound International Railway and Power Col, Lessee <br />APPLICATION FORMATER <br />All blanks most be filled in oc-4o d no <br />...... <.':\I 1 Jiro ien Co ... <br />. ��c���/{ <br />Everett. .. .....19 <br />TO THE SVPERIKTLSDENT OR THE EVERETT RAIIAVAY, LIMIT <br />AND -�NATLR CO.. PUGLT SOUND 1\TP.RNATIONAL RAILWAY <br />A\D POWER CO.. LESSEE: <br />I hereby apply for the use of water in accordance will' the rules :nut <br />regulations of your Company, for the purposes t nd futures slated bc- <br />lon•. <br />During the time that any of the Company's mains may be taken <br />all by reason of any improvements authorized by the City of Everett, in <br />or of any street or alley in which they may have been Inid, the Campnny <br />will not be reunited to tarnish water during the progress of such hn- <br />prileruents to any consmner n•Imse pply may thus be cut off, or ba <br />)]able for any damages for Its Me su to du. <br />The work to be ex -mated hr.... ............ 1'hunbor. <br />+ State size or) t.f� <br />..TnD to be Insm•t.d in tho main. <br />. ......Water closet. <br />... ....Both. <br />• . Q.... Urinal. <br />... %!.. Plain faneet Inside. n �� <br />... i7...Sidewnik washer. D�jgg9 <br />.....Hose bib outside. 1j <br />... �...Hoso bib fur boildin 1 11' /., <br />f, ...�...liose bib Inside. 0� <br />.Q...11tb for stable contniI g., ,.. .. <br />•Number of persons in family. <br />, • 0, \umber or romp - n-h I1.1,49. <br />IThe premises are to be used a . .. <br />The owner of the premises ....!a. �..... ...... <br />The agent Is .......�.. .... ... .`.... / <br />54 <br />Slgned...rT✓!.'(/. /yr "�/ i'ty't"'root. <br />(See other side. // <br />