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Form No.)4. <br />2 ZA A/hu <br />Etrcet. <br />I .'. Everett. .... 1. v.`: ............ 100� <br />I "TO THE SUPERINTENDENT OF TILE EYERETT RATER COMPANY: <br />t her—bc aplly for the "Be of water In accordance with the rates and regulations of the Everett Water Company, and request <br />t`st a.. /✓...inch tap no Inserted in the main at the ptnre above stated. <br />:. Tap-, pin//nber who will do my work ip.. ,/ 'Vnrniiil/ ..... ................................................. .......�...... <br />t G <br />Te owner of the premises is ......... .... ......................... ........... ...... ......... <br />The agent is ........................... <br />!!'.,..^. ... ..... .(/yi.... ..'.. ............ ...... .. ......... .. ..... ...... .... .... <br />The lennntis. ............. ... ...........,. '. !?-"`....................... :.................... .............. <br />i <br />The water rent should he charged to .................................... ... fit. n......................... <br />. .............. <br />+ Signed....... V.C-.. <br />(See Other $Ide). . <br />/ AFpllcanlicnnt <br />