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It Form No. AI. tpllcatlon No.. / J..... <br />-,��I •..q �rA j!1':%i '.•): :'i f:! i�:':i ii. �........ ........... Street. <br />Everett.................. .. ................. lqO� <br />Til TIIE SIIPBRINTICNDI;NT OF 9'IIE IiVI:Rt.TT WATER COMPANY:C ! 1taJ�eb npply for the use of venter In accordance with the rules and regala fins of the ):reretl Water Compnny, and rennest <br />that it . Inch tap be inserted In the main at the place above stated. <br />T;•c ph <br />imbrr who will do my wm'k is ... .. ............... ....................... ....... .... ......... <br />I h1- owner <br />aI s... .......:..`�.1 ........!... ......... ........................ .. <br />1 <br />Thr amrot is.. t.. tr.......'.I... ............t � .......... ....... <br />The tennal Is ...................... ........ . <br />�............................................................. ............. <br />'The water rent should be charged to.........4...... ......... <br />...................... ................ ..................... <br />.. .. ....... <br />Signed.. <br />4a ,.j...l �&a fin... <br />I qee Other Side). Q!" <br />.. Appllc <br />