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Form No. 14. �� / �7o+/ pp •alion No. /�/y <br />allo.... .... ...... ........... ... .. Z Street. <br />F.vcrett..... .. 100.. <br />TO TNI: SUPERINTENDENT OF 1'H17 F.ITuRETT WATER COMPANY: <br />I he •b apply for the use of water in accordance wdth the rates and regulatlo or thEv <br />erett verett Water Compnny, anti request <br />1 that n /... Inch lop he Inserted In -.ha main at the place above stated. <br />j <br />Tl,,' e 4° who will to my work I4.Vn� .... ........ .................................... ............. <br />TN':�'.'iwuer of thw e Prnlses Is ............. .......................................................... ..... ............ <br />.._Tile nRenl Ifl............. .. ..... ........... ....... ./................. . ........ ......... .. ..................... ........ ..... <br />ITitetennnt. Is ...................... .................. .... ..................... ..... .... .. .......... ........... ............. <br />The center rent should be charged to .................... ....... ......../.................,,....��..XX..n....^...�............................. <br />Signed....:g ..� (G.1!.�/d:..Y..V..b_-.,....... .... .... <br />(See Other Side). Appllcnnt. <br />