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Form No. 14. / A It intlon No.�3� <br />�/ LStreet.No.... .....v... .. ... <br />Everett .............. .1)/ef..Z.S....... no/. <br />.:.4. <br />ITO TIIR SUPERINTENDENT OF TIM EVPRETT WATPR COMPANY- <br />1 YlIA71, apply for the use of water 1n accordance with the odes and rey11lntinna of the Everett er Company, and request <br />that a.. Inch tap be Inserted In the mnln nt the place above stated. <br />'.4iq plumber who will do MY worlL c ........ ...... .... .... ......................................... ............. <br />Theowne• of the premises 1s.....J....... .�./.y ...... ..... ..... ...................... .................................... .. <br />Theagent Is. ........ ........... .... ...... .... ... ...... .......... ............. ................ `............... ............. <br />Thetenant Is ...................... .... ...... ......._..... ............. ....... .... .......... ........... ........... .. <br />The water rent should be charged to...........! ........ ................................ ..................... . <br />.. ... .... ..... <br />Signed....�. .. .1 ......�.CA.�9 .... ..... . <br />'(See Other Side). Applicant. <br />