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Form No. 14. r�/ <br />Nu...- Q-. ...................... ..... ....... Street. i <br />EvereU................. .............. 190... <br />TO THE SUPERINTI'NI)ENT OF THE EVERETT WAT17R COMPANY: <br />I epj- apply for the use of center In accordance with the rules and regulations of the Everett Water Company, and request <br />that a.. .......Inch tap he Inserted In the main at the place above stated. <br />The -,(dumber who will do my work ... ... .......................................................... ..°e... <br />The otcner of the premises is........ �^.... '-�w..........................................-....... y <br />The agent is..................................................................................................... <br />Thetenant Is .................................. ... ..IdJ........................................................................ <br />•The water rent shmld he charged to............!^'f............................. ................................... <br />Signed..............��/ I. .(�i f�f/...................... <br />(See Other Side). I Applicant. <br />