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Form No. 11. <br />x <br />NA. ... .... .. Street. <br />g -TO THIS SUPRRINTRNDPNT OF THE EVERETT IV,STGR COMPANY: Everett..................Y.....,/.6........... 1901 <br />M........................ <br />tilt., <br />�'hp npplp for bolife use of water in accordance with th? rides and regulations of the Everett Water Company, and request <br />Inch tap Inserted In the stain at the place shave stated. <br />The plumber who will do my work <br />.......... .................1......................... <br />. ............ <br />The owner of the premises Is ............. !n?'u�'I <br />The agent is ........... ..... ... ... .. <br />. ...... ...... <br />1 The tmm nt Is ........... ........... <br />. .............. .... ............. . ............ <br />'file water rent Shoold 7e charged to ................... Itz <br />. ......... <br />i <br />BlgneQ.. rlot.......... ....... <br />(See Other Side). <br />ADpllen <br />