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Form No. 14. <br />Appllratdon No .... ..... .... <br />"4./ ........ Street. <br />Evejett�.......................... .. 1i .Y..... 1p6,✓ <br />Tq THF. Sl.'Pp:RtN TI:NUERi' OF THE EVE RETT WATER COMPANY' <br />I herby/aUply for the ase of water In accordance with the rates and regulations of the Everett Water Company, and request <br />that a../',, Anch tap he Inserted In the main at the plan ahnve stated. <br />The plumber who will do my work Is .................... <br />'jam .............. <br />The owner of the premises Is <br />............. /'j�CA.Q.� ,,,�• <br />.............................................. <br />Theagent. Is ............................. ............. ....:� <br />The tenant Is ............................ ...............-a0-1 ............ <br />p................................... .............. <br />• The water rent shmdd br charged to .................... F., ;............. .................. <br />(� �\ ...... .............. <br />. Signed.. .37Jd,. .til..�., . <br />f8er Other Side). (U1 <br />• .lpplirant <br />