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Annilcntlo o �• <br />Form No. Lt.��//J�Z •�i/hY/ I ............. <br />No.... ............ ...(: •. .. .. . <br />r .......... �.�.............1p0 <br />Everett • . • . <br />',''O THE SUPERINTENDENT OF THE EV GRETT NATER COMPANY: <br />;I er .by apply for the use of water in accordance with the rules and regnlntions�f tit vrrett Water Company, and renucst <br />that-n .�...... Inch tap be Inserted In the main at the place above stated. <br />............. <br />work ia... ... ......... , <br />The plumber whp will do my � <br />/Yj'��A//'/� ... / <br />The pwner of the premises is.......... <br />...... <br />The agent Is .... ............... ............. <br />................... ......... <br />The tenant is,... .••• <br />................. <br />Vhe water rent shon'.d he charged to .................... <br />.................... .... <br />Signed .... Applicant. <br />See Other Side). <br />1 <br />