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Form No. 14. <br />i <br />A i 1 tlon N ....%� li 7�., <br />No..:4!,-//.//f. �...�. .. .(....r•. ... ................ Street. <br />" Pt•crelt....... . .... .. ... ��. .Q. .. ..... 100.v <br />TO THE lTP 1,11INTENDRNT Of THE EVC�RETT WATER COMPANY: <br />I re Y.apply for the use of water In accordance with the rules and regulatlona of the Everett Water Company, and ream <br />that a. ......Inch tap he Inserted In the main at the place above stated. <br />lu The �i ber who will do my work Is . .. ........... .... ........................... ......... .. .... . .................. .......... <br />The owner of the premises Is. ...... <br />The agent is ............................... „ �, J ... ............................ <br />{ <br />The tenant is............ <br />The water rent should be charged to ....................... .....••. <br />6 (See Other Side), Signed <br />i <br />�Z.��..:... ;� .. t;...... ... <br />' .' ..lpp.11en...nt. <br />