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lien n 77. <br />Form No. 14. .(%� <br />EcerctL......, ... ...... 19�t, V <br />TO THE S JPERINTENDENT OF TIIP EVERETT WATER COMPANY: <br />I hrr b apply for the use of seater in accordonce with the rules and regulations of the Everett Water Company, and request <br />that a... .. ..Inch tap he Inserted in the innin nt the plan above stated. <br />The pla her a•ho vIII do my e•ork is... ... .••..••..•..... ...••.. •.•.... ....... ..... .� <br />A <br />.. � ........ .............. ..... 4................ ........... - <br />The ortfier of the premises is...... .. .... . <br />Thensen: Is. ............................ ..........✓.1�:.................................... <br />..................... .......... <br />d+ . <br />The tenant Is ............ ........... ..... ......... ... ••� ... ........... <br />Tho rcnirr root should La charged to. ....... .....%.Signed ....... . <br />•. ADPIIoan <br />(See Other Side). <br />