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Yorm No. 14. <br />r {t7 T?ipPll( if - , <br />No.... .....1.........— / a-c� <br />..'•'•.•........ '�...... nLr L. <br />TO THE SIITPRR1NTF.\DENT of THE FVFRFTT 1VA'I'PI? COMPANY: 1:rcrett..//........................ <br />. 190 r/ <br />t Ihpe l 1111)l)' for the use of water In nccordnnre with the rules and regolnt(, Water Co m... nmr request <br />g �V/ <br />Of the F.�•erett \Vot <br />LhuU'JI Inch top he Inserted In t r at the Place h e toted. <br />rn•� 1 <br />Thee plufnbcr who will do any work Is .. .. ' <br />.. �..*-..�................................... <br />l /� ............. <br />The owner of the Premises is ..... ..... .. ... .... •.........•..... <br />. .......... ..... ..... The agent Is ............. .. ..... ..M.. I ................... .. <br />. <br />. ... ..... ........ ...... . ............ .. ....... <br />The tenon[ is .. ...... .. .... .... ............ ............. <br />. .... ........ .... <br />� The venter rent shmdd •bo charged to ..................., ` <br />Signed... ... —'� <br />(See Other Side). • • • • • •�t!�. ... <br />`-%�....... .. ...`. <br />APPllcant. <br />