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' Fcrm 1{$J <br />• �verett �ailway, l.ight and Water Co.. <br />Puge1� Sou�d loter�atiooal Railway a�d Power Co�, Lessee� <br />APPLICATION FOR WA'TF,R <br />All blanks must be fif�d In or crossed out. I / <br />Illnrk .�. .l L� I.n �. F_.. _. b/� -� ' I V V Xl <br />/ �F �1. ' ....,','�Ulicdinn \n........ <br />.�Iya.s.��U.a,�a- s����� F:,�,,,:��.�l�1`V..)�f..ivn.`� <br />TO TlIF. SUpM:RIRTE\UIiNT'Ob` TBF, IiVRIiIsTT ItA1L\\':\S, LIGII•I' <br />A\U \C:1Th:R CO., POGIi'C SOI�'\D I\TISR\ATIO\.\1. R,11I.\1'Al' <br />A\D PO\\'IsR CO.. I.I:SSM:Is: <br />I hcreb}� nppl�� for Ih� uFe of �v;�tcr In nc•rordnnra x9th ihe ruics nnd <br />reF�dnllons of ynm• (`nmpnu>�. for thc �nu•prnrs nnA tl�h�rrs etnled 6c- <br />Inp'. <br />During the tlme Ihnt nnp of Ihc CotnP��U''y muins m:ip be [nkm� <br />nD b>• rwnon of nny ImPi•ocemenls aulhnrized by lhe Cily of i3veretL in <br />or of r�n�• �trcet or alk; iu �ri�{��I� they m�p hnre 6een laid. Ihe Compnn}' � <br />�elil not 6e requlrrd ln f�vnlsh };ntcr iluring IUc P�'ng�'pvc af surh Im- <br />proeemente ta nny consumcr �chot�.r vupplr mnp thus hc rut nff, nr 1�,• <br />llahli�. for nn�� dama�;ea fnr Ita ( II1iIr� s to do. <br />7'hc u•nrk u> be ec^cnted h>•..�Y,`�',�?!�........... Plum6rr. <br />Stntc xlze oi t:�p. <br />...��...TnD tn ur Insorrod tu thr maln. <br />....y�..A'nler rinxet. <br />.... x..linth. <br />. . Ii��Inai. <br />. .. ..Plnin fauret lu=ldo. <br />.....�..Slilmrnik w�ushcr. <br />.....,Y.. i.osc hih nUlcldc. <br />....i�..Hotc Dib for LpII�11nF D���'p��;rs. <br />....�...ilose bili luside. <br />....p....Ilih [nr slnl�l� rm:tnlnlug......ninll...... <br />... e1...\umbcr of persoun in famih•. <br />.. ,y Vumb�r of rnoms I 6u(I�Iirta. . <br />. . f�. . .. //il <br />N <br />The pr�lnis�•s nre �o Le nsrJ :is n... e,KG (R <br />,^,� ' . �� U�� .... <br />Tho on•ncr of Ihc Premiai�h is...4v✓W...G�,.. . L1'J�,.�.... <br />Thn nFrnt Is ..... .. �.... <br />/ .... .....'.I........ <br />SlSned. .�.��G.�✓J%:�(tI�(%�j�,.. A�Jlrnnl. <br />fSrr other atde`//��, � ;� <br />/�� ; / 1 <br />� �� r, <br />