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FORM No, I. _ ?�X'7 Application No ... <br />i ALL BLANKS MUST Be FILLED IN <br />OR CROSSED OUT. ....:-. !..K... ....................Street. <br />To Tn e. 8urrms'ruvvtsNT UP 771II liv};nt}:'n'T \4,\TEE C NipAN I': e,6 <br />I I hereby apply for the use of water in accordance with Lite rules and regulattonK of file Everett Water <br />Cmnpany, for the purposes and fixtures stated below: <br />Thew rk to be executed by ......................... <br />......... <br />.... ..........Plumber. <br />...... <br />It no Top I. reywrce, Crassout,jfdp- -.....Tap .to be inserted In the main. <br />y•... ...\Vnler Closet.. ..... ..... Hose Hill. ,for building purposes. <br />.. Bath - .... Bose 1111)..Inside. <br />Urinal .... ...... 13lb..for stable containing.... .. Stall . <br />....... .1'IAhI Faucet Inside. .... ...... NO. Persons In family. <br />... ..,.. Sidewalk Washer. The premises to be used as a ' <br />.........Hose Bill.. outside. <br />