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W.O. fOflM ! ����� •. ) y� <br />/ ! Q <br />n��i. rra..........U� ............. <br />CITY OF EVERETT—Water Dept. <br />I, - �' � ,, / �f <br />A�plir.ation No.�.:5...>..��.,:'���.... Date...C.L��[G.r........�.::.c�i.Z......_....19........ <br />Install ................................ inch watcr service pipe <br />Block <br />Remarks.... <br />Amt......................................... Rec. No...................._............................. ................. <br />By ....................................................�?_�:�::f:f �J:/:. <br />Su erinten�t // <br />� U <br />.... .........................................---........................................ ...................... _...:....:.'-'........ <br />, <br />c�-3J._ <br />Shop Remarks .......................... <br />_ .................... ..... ................ ............ <br />�\'urlc Co�tpleled....__...._... <br />. <br />Foremnn <br />