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- , <br /> (� (� - - <br /> . Porm No. 14. �� V �x� .. .1Dp—llcntlone A'�r:.:..�. � <br /> Q V ` n <br /> ' - N��....J. �i. 1"�17��"'�.1::�`� -. .. 5����� <br /> . ....... ....... <br /> � Pccrctt�....�...Y..I............. 190..�. <br /> TO 1'HI; SCiPI:RINTGNpE\T Oh' 1'IIF, Pl'IiRR1'T \l'ATPR (•O)IPANI': <br /> I hereby ;�pp1}' (or the use of n�ater i�t acmrdancr t��ILh Ihe rnles nn�l regulndons n[ the I;vrrett\Vnta� Compnn)•,nml rrqucst <br /> . ' thnt a....—�..�—....inch tap 6e ineerted in tLe main ;�t the placo abm�e stated. <br /> Tlic�plumber �cho ���ill do mr �vot9c Is.......?;J.,.I�J'<<� (�,�� ��'�� -�� J <br /> . . .. . ( � . Y ............................... .......... .. <br /> . <br /> Thr,mrncr of �hc Premiscs i;............................ . �`_� ^ F ......-..ti..� <br /> ...::.�`/��`+���Iw.�..1........................... <br /> � <br /> Thea�entis............................. .................\................... ........... �, <br /> 1 .................. ....... ............ . <br /> Q , 1 <br /> ' 1'he teun»t is............................ ....�:�^........�..'�:�-:'�T�.�'.�/� � P.� ............... <br /> - �1 ............. .... .......1i.. <br /> ^ . �,, t•..,-.. <br /> Thc �eatvr rent shoulit hr chnr•ed to................`. �h � � � <br /> F ....:,..T"`.cJ 1-,:....`-r^�T':lY.��S.Jv....................... \.... <br /> � � s��nea..........\.�..�':`'��.�!..\.,��. .............. <br /> (Scr Oth�r 91dc1. ppplleant. <br />