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Form ivo. 14. <br />No............ J• • • •...f .l�G�-!."��... Street. / <br />Everett....... ..... ••� ...190Y <br />TO THE SUPERINTENDENT OF THE EVERETT WATER COMPANY: <br />I her 1.1)3 pply for the use of water in accordance with the roles and %gulations m the Everett Water Company, and request . <br />thnt_ tap he In-eited In the main at the place above stated. <br />Th t� plumber who will do my work is...... ........................................... .............. t <br />...................... � <br />The owner of the premises Is ............. �7��£Q '� r • • •'•'• •'R ...... • ... <br />.................. . <br />Theagent Is .......................... . ................................................................................ <br />Thetenant Is................................................................ .............. <br />4e <br />The water rent should be charged to....... •••••• ....... ••.... — ..• 4 ••••......••••.• •....•........ <br />...............Signed.... y. .�K Y.4\, :tr}..t,I ,{� <br />0 f.../.!'( ('.'.t/.............. JAIC .. <br />(See Other Side). / • • npMlcnnt. <br />