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Form No. 14. 1 `l�,Apepllt 7No...... /.. ....... ..p........... Street. <br />F,/erett........ .... ............. 190. L <br />TO IHE SUPERINTENDENT OF THE EVI-RETT WAT F.R COMPANY: <br />I he . apply for the use of water In accordance with the rules and regulations of the Everett Water Company, and request <br />that a..'. ..leoh tap by Inserted In thn at ap-e�a///p/v'e d. <br />' tfc, plu ber who will do my work Is... ..//°,���! I,!/-�U:... .............................................. .. <br />The owner of the premises Is ............. x2'^i <br />,,,,. , ,,,,,,,, <br />.... ..... ....................................The agent is.............................................................................................. ......'1'�. <br />Thetenant is............ ................ ...:.................................. <br />...-............ <br />....................... <br />The water rent should be charged to ..................... -� ... ................................... <br />/....Ord+.mac <br />.� Signed........ ............... ....... <br />(See Other Side'. A ant. <br />