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Form No, 14. <br />c:0 N ... . <br />TO THE s[iPGRI 'TENDENT OF .. G . Street. <br />TAIs• EPIsRETT {PATFIt COMPANY: Et'e rt4........,. . <br />t her .......... 0.. <br />Y + PIY for the nsc of water in accordance with Ulp rules nud regulutluns of tllC Everett Water Compan3'. nntl request <br />Th. It ..... ..Inch tall he Inserted In the Illa"' at the <br />Th[ plumper who will d0 my ' Place nLove stated. <br />The ownAr of the t DQ <br />.... ; <br />............... <br />Premises is.. • .. • <br />...... / ..................' <br />The agent Is ............................. <br />I 'The tenant is ................... ..... <br />......................... <br />.................... ............. <br />The water rent should he charged to <br />................................. <br />tsce other Sldel. ..... signed f/� .............. <br />....... . <br />........... Applicant. <br />