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.. , <br /> w.o, ranH a � � �� � /X\ <br /> . . . . .�CCt. 11'0...��.r.�..0 �._G: li <br /> CITY OF EVERETT--Wat�r Qept. <br /> Application No%..�: �..£.'.. Datc..........................>..:./- .. _._......19t..y <br /> Ii�stall................................ iuch water servicc pipe <br /> Ow n e r........_.......................... <br /> �3 _. ... .. _........_.................... <br /> ..................................... .. <br /> Address. ............J....,��..,1.._...�.�..-� r.ie=.��z.:_�:�.J`"._............................... <br /> .. <br /> Lot.............. ..........................................Block No........... .................................... <br /> Addi t ion..................................................... <br /> ................................................................. <br /> Contractor....-............................ <br /> ................................................. <br /> .............................. <br /> � • <br /> R emarlcs_.......J�.._..T...a;w <br /> � ........................................................... .......................... <br /> ......................................................................................................................... <br /> .................... ... ................................................................................................ <br /> Amt........................................ Rec.No.........................-----............------.................. <br /> IIy...........................................�----.................._..................... <br /> Superintendent <br /> ........................................ .............................................................................. ........... <br /> .............................._......................................"'......._............... ..........._.............."". <br /> il IDi t ...... <br /> ...................................................................................................."..."..".'............. <br /> ................................................................................................................................... <br /> ..........................................................................................................."."'...............' <br /> ................................................................................""...............""................._.......... <br /> "................................................................................................................................. <br /> ....................................................................................................................................... <br /> Shop Remar]cs........................ <br /> ................................................................................... <br /> ...................................................... .................. ...................................................... <br /> ................................................................................................................................. <br /> ........................................................................................... ........................................ <br /> ...................................................................................................................................... <br /> - �•................................................................................................................................. <br /> ....................................................................................................................................... <br /> ....................................................................................................................................... <br /> ....................................................................................................................................... <br /> l�'o:•k Completed....................................................................... <br /> ............................ <br /> Foreman <br />