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�'\ I <br />Form 1Qo. ti. <br />� � 5/'�/ //./pJ�^�IlcnUo• No. I�.�. ��� <br />� No.... ..... ` � � H'�-- tA'.-Qi 7�.....:......9treet. <br />, . 9 .......... ................ <br />. �.... �!/...�� <br />� Fver�« .. . . . .. . . . . . . . . ! : . . .u�. . %. 4. . . . . ... . .. ., 9�!. <br />TO T�iF. 9P/PGRINTFilDF.NT OF THP EVF.RF.TT NATF.R CO\[PANY: <br />- h�/eby nPP�Y [or �he use ot water In rtccordnnce with the ruleR nnd � F���atlonn of the Everett «'nter Compnny. nnd reqvext <br />tlu�n�...��Y.. inch tap be Inaerted in the mafn at the place nbore xtnted. . <br />e <br />�I The Piumbor who adll de mY a�or y .... ( . ....... ................................ ............: <br />.. <br />..... ......... <br />_/ / .... �. .. <br />� The oa•ner o[ the prrmisen le..... J��� ��'� <br />� �y; ..J .. . ... ............... .................................... .. <br />......... ....... <br />The aRent le... .� ..... ........... . . !..:'. !..� .... . .... .... . ........ . <br />�` The tc.nant Is ...................... .... . .......................... ................................ ............. <br />�"/��_...u, . <br />� The a•nh+r rent el�nnld br cher6ed to......��.. � ................ ....... ...................................... <br />- /' <br />... <br />� 9lRnod ........... ... . . �. . . . . .... .... <br />' �•j (9ec Olhcr Sl�lu). A pllcant. <br />