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Form No. la. <br />t ; Na.... �..11.... ............Street.. <br />d EverelQ......... .. .......c .......... 190.1 <br />� TO 1'i l); Si7P/PRINTENDRNT OF THECVERETT WATER COMPANY: <br />I-•�'!,,/, %'ray npply for the use of :rater In accordance with the rules and regulations at the Everett Water Company, and request <br />thRt hnl a,t ./.: IncB tnp be iuserled in the main at the place abovo s ted. . <br />R <br />The plumber who will do my work Is..... ... .. ........ ......................................... ............. <br />... <br />The,ow•ner of 6re premlaee is.. ......................................... .............................. <br />Theagent is .................... ..... ........ ............ ...... I......................... ............. <br />9ihetenant Is ...................... ................... .......................................................... ............. r <br />The water rent should be charged to .................... ..... ......... ... <br />Signed .. .. G' '�.... /;�-:.:............. .... <br />(See Other Side)' ADPlicant. <br />