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Form No. 14. 210 <br />.................. . .... Strom <br />Everett,........ <br />OF THE EVERETT WATER COMPANY: <br />TO THE JUPERINTENDrM <br />I apply for the use of water In accordance with the rates and regiditions of the Everett Water Company, and request <br />that a.. Inch tap be Inserted In the main at the, place, above stated. <br />The plu.ober who u-III do my work Is. ... ..... ... I ................................ ....... <br />Tito Men 1161 <br />vi of the premises Is .............. ... <br />The agent is ......................................... <br />Thetenant Is ............................ ........ .... d <br />Tito water rent should be charged to .................... a <br />(See Other Side). <br />...... ............................. P .... .... .......... <br />.................... .............................. :�� ..... .............. <br />................... ........................ <br />..................... ............ .. ..... <br />dy <br />rV. . Applicant. . . . . <br />