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Form No. 19. c; / - <br />d Indication Noo0Q .... <br />l <br />TO THE SUPERINTENDENT OF THE EVERETT WATER COMPANY: <br />1'pb nPPly for the Ilse of water In accordancn with the rates and <br />that P,•„ . inch taP be inserted 1u the main at the Place above stated. <br />yryfle phunber who will do my wort; <br />The owner of the premises is...... <br />Everett ................... l_/<-� Z. <br />..y......... too./ <br />i <br />of the Everett Water Company, and request <br />The ngenC Is .................... ...................... <br />. <br />.. ............... ............... .......... <br />t... <br />The tonnnt is..........., <br />6 V. <br />..... ......................... <br />............. <br />The water rent should be charged to .................... <br />(Sae Other Side), Signed........ , <br />. •p1pllcant. <br />