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Form Sn. I, �% /I <br />ALL BLANKS MUST BE FILLED IN ( // ? tppl cation No. <br />X <br />OR CuoseeO OUT. \o. U• '!'.C„��.. .�.,... �...�. /�77 �!Y7.,,�/,✓�-y�lreet. <br />.... F.vcrett,..�(!.'... ".�'.. /........... 1R�j%.Od <br />'f0 9'lit: ". 'Giilx'1 k:N nkxT OF Tn6 F.VERE'll' WATER COMPANY: <br />I hereby apply for the use of .rater fit necordance with the rules and regulatiwus of the Everett Water <br />Company, for the purposes and Fixture- staled below: <br />•1 The wcrk to be executed by .................. ....... ........ ....... ..... .........pimnber. <br />It to TaA I. r<n.lred, Oros. oeL1w- !, M. Tap to be inserted il, tho ,,all,. <br />............ Water Closet.. ............Hose Bib. for building purposes. <br />...._.... Bath - ............Hose ISib..ineidc. <br />........... Urinal - .... ............Bill for stable contnlnhlg.. <br />_.......... Ylnll, Faucet IBM& . ............ NO. PerPonN in fondly. <br />. .._. .. Sklovalk Washer.. The premises to be need as It ................ ........... <br />.. .........Bose Bib outside. r e <br />,� Sign.... ....�... �C1.�P�!14:6.:�::...�............ <br />