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_ . . _ _ _ _ - - - <br /> , � �Form No. 14. ' - . _ __ � I O 1 � ��✓�.. I� ._ .. <br /> (n G� S� — /3 annuc �mn xa.:":........... <br /> . �� <br /> ' � \u................. ...... ......... ..6 F:�.�..t T.... 9treet. <br /> T:ccrett...�Gfy...�.3............... ]9o.Z <br /> � TO THE BUPERINTENDGNT OF THG Ps1'RRF.TT NATIsR CO\IPAhY: U <br /> . , i/he,/rebp apply tor the nxe ot wnter in accordenr.e �vitl� llie rulen nmt regulntlnne o[ tha Ecerett�Pnt�. Compan}•,nnd request <br /> �:Jiet a.!`J.f�ipch tnp be inherted in �he mnln nt the pinre nbo�•c slnted. <br /> !K� � <br /> �''RI� •Ol�mber a•ho a•111 do mY.u•nrk Is........... .. ........�....y...j ....... <br /> ............................ .. <br /> • ............ <br /> � _ J,�,' b . <br /> �'he owner of the Premisex In..f�'.."�..l.. .... . .......... .. . . . ............................. .. � <br /> .. ..... <br /> ......... <br /> Thcaeen[Is............................. .�.�...r ........ ........'.... .. ................................. ......�.... <br /> � The tenent in............................ ........... .. .................. .................................... .............. <br /> The wnter rent ahnnld he chnrged to......................... .....(�. ... .................�L..,........... .............. <br /> � �, EIFnc�I..V.T.P.Mc.'Fr/.�}�•.��' <br /> (3ec Other 91de1. ...... ....•......... <br /> I AppllcenG <br /> � <br />