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\ <br /> i'orm To. 14. / �. �. �:r_ . , � ? <br /> • � I �� i-�� � � C�� , �.,' .__ � <br /> � : ' (✓��J � ! ' `,' APDllention No....'.........-.. <br /> � - . C, .� �_- � Nu...L..........'......�.....f. :''_ r' ✓ <br /> � / �. ,i _,r'' ,,,�,, .... 9trect. <br /> � Grerett........., ;•'................?� � <br /> TO T}:F. SL}PERINTI7NDCNT OP THG EVPRRTT R'ATER CO\IPANI': ......................•.{�..... 190.�� <br /> � I Acrel�}•,nppl}� fnr the nse o[ u•nter in nccmvinnce a9th the rnlee :mJ mgulntlnn, o( t6e ��•erett R'nter Company, nnd rnquest <br /> that n...�...'/„inch taP he inserted In the mnin xt the pince nbm�� atnted, <br /> Thc(plumbcr aho �cill do mr ��•nrl: is�.�.. ..... . . <br /> '., ;�.�.............:..........1 .................................... . <br /> The ow•�rr ot the premises 1s............�..�. ; ; .�:' . . '� �. C� ��'�% ;��� 'J .•........... <br /> ............ ................... . <br /> .. ................................... . <br /> Thc a6entis........ � ............. <br /> .............. . ..... i. <br /> .................................�... <br /> .................................... <br /> � Thr tennnt in............................ .............. <br /> ...... ........:.................... <br /> � .................................... . - <br /> The n•nter rnnt shnuld be clmr6ed to..................r...,. ........•.... <br /> � <br /> (9ee O[Ler Sidcl. 1 r `�,� i.id .� s�sned.. /.I�.Y�f.�...:�✓.l::ili..�.�.:l:l!.V......... .............. <br /> � Appl:c¢nt. <br />