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Form No. 11. /j (Cr pplientlon No./Aa ,-Y, <br />No.... .. ............. ...... /.. ~>/'Y.YGl.44sl F.I ..... Street. <br />iurerett�.'L«.�A...oC . ........100 P <br />W) THE SUPERINTENDENT OF THE EVERETT WATER COMPANY: <br />1 I1pr shy apply for the use of water in accordance with tile nd e rules aregnIntlons of the Everett Willer Company. and request <br />that a ..�.. inch tap be inserted In the main at the place above stated. <br />r <br />The pl(lmber who will do my work ts........................................................................... ... I......... <br />.1 <br />The owner of the pre <br />mis <br />es is... ... ............................... ....................... .. ..... <br />Tie agent 1%....... I. .�Y.. ... .............. ... I...... ................................................... ............. <br />m• tenant Is ...................... ...................... ................................ ............. <br />The water rent should be charged to., ✓ ? <br />Signed...l.l;7L�4./t.../..... ..................... .............. <br />....../............. <br />..�.L r:1:7:t1/:�} <br />(See Other Side). Applicant. <br />