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d <br /> ' Form No. 11. \ � < � C�Y <br /> APplirn�p \o......�....... <br /> . � �'�� Ye�^ I��� j/ct«o�.. 9treet. <br /> ..�...�/............. <br /> � E�•crrtt�...........l1.:-...�.:..�........... 1A0,y <br /> � TO THC 3Ui`F,RfA`TENDR,\T O� THL•: P\'IsRETT RS�TRR CO\IPANI': <br /> � i �re y�pplp fn: the use of wnter in accordnnce �citL the rulrs nnd r�gulaUans n[ the Gcerett R'nter Compnny,nnd reQuest <br /> - �' <br /> / <br /> ���thet n... .�C...inch tr.p hc Insorred In tlie mxin nt th� pini�n nlmee stntcd. <br /> � � <br /> � � . <br /> h�Yhe Dlumber c��ho n•III do mg work is.................. <br /> ..................... .................................... .............. <br /> The o�ener of the prcmlFce ia....l?;�'1!J/.! ,,, , <br /> � . ...................... .................................. <br /> � /� .. .............. <br /> The flRem Is...... .....�........�'J'I:?:J.QG(� ............................ . <br /> � ................................... .............. <br /> The tennnt Is..................�.:;7:J.2-t-�2E'�......................... .... <br /> ................................ <br /> � .............. <br /> . Thc n•aler rent shauld be chnrgcd to./.,Y,IQ��. ............... / ........... <br /> ...... . . . . ....... . . . <br /> ... <br /> { SlRned........ ....'... .� - .�. . <br /> (See Otliar Sldr). . . .: .. ................. <br /> ... <br /> .. . .... <br /> ..'..1DPIic . <br />