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Form No. 14. J�0—a l <br />.Application No...�, n <br />No.....................'/.q 5 I ! <br />Y'Y..•. ...., Street. <br />Everett ................ <br />TO THE S1; 1'ERINTENIIEN'f OF TI{Is E\'GRIiTT R4\TP•.R CO\IPANY: � 19U�d <br />I herehy apply for the ,so of water in accordance with the roles and regalatlons of the Everett \\'ater Company, and regnest <br />a <br />that a.... ..Inch tap he Inverted Intl <br />le main at the place hove stated. <br />The ptnmbcr a•' o will do my work is......./. <br />2,; —' <br />C...e <br />... <br />The ownus of the Premlaer ix..........., <br />Thi• agent is ........ ..... ... .. ........... <br />.. <br />... .... <br />................................. <br />...' ' <br />�.E <br />.. ........ <br />The tenant Is . ...........................•• <br />....... ................. <br />.............. ..:........................ <br />...................... <br />... ........... <br />..... <br />The venter rent ahouid 6e charged to. ....... <br />.., <br />............... <br />...... <br />(See Other Side). <br />Signed..... <br />i.....:........ <br />Appilcnnt. <br />