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� I 3 �����"` / ,-�:�Ql- <br /> Fbrm Na. 1�. lppllcatlo�:.'::./..... <br /> � . Nu.......... ........... ........�.`..f..j.. .. Btrce�Lf/ <br /> . � F.eerott...f%�7����............. 1g0.! <br /> � i - <br /> TO THF. BUPERINTENDENT OF THE E\'F.RF.TT WATF.R COMP.�NY: <br /> , I Aere y e p1T Por the nec of water in accordance with the rulee nnd reg�Ontlone o[ the EverMt Water Compnny,nnd requeet <br /> � � <br /> � that �....�.}.Inch taP be Inserted In the maln at the place nbove etnted. <br /> � <br /> ' . T� �plumber who wt�l do my work is............ .. .................. .... .................................... .............. <br /> � <br /> Theownrr of the Premitiee la....�....�..... ... ...................... .................................... ..............` <br /> Th�aBen[le............................. ........ `�j•..................... .................................... .............. <br /> �itir t;nnntle............................ . �rJ <br /> ........... .................................... .............. <br /> . <br /> TY.c a�ntrr rent aho�ild he eLer�ed to................�...:.......... .. . .. .. ..... .............. <br /> ..... <br /> j ' 81Rned.�j..� . . .../.Y.Y.�.R4AoL/.y.............. . <br /> (9ce Other 91Ae). APPlican� <br />