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w. o. roxw n /�/�� <br />CITY OF EVERET7'� A''-et. No......`�.-.�'�.S'3 <br />_. � ........� <br />Water Dept. <br />t1PP]ication No.....l..�L..7..f :.... Dnle...._.c�::. ..:. <br />Install ................ � �: � ..19........ <br />................ inch water service pfp�, ...... <br />Owner ................ <br />....................� <br />� ............... ....................... . <br />Address............�:�: � � � 7 ...................................... <br />......... .�.`.k..._.: �L1.,. <br />Lot.............................................................. Black No..... ............. ...... <br />.......... <br />....... <br />Addition................... ....................................... <br />............................................ <br />Contractor......... ........................................................ <br />............................................................... .......................................... <br />Remark. <br />.....:............................. <br />... ........._�:...1[�� ........................................................... ......................................... <br />� <br />Amt......................................... Hec. <br />......... <br />By..................... .�.: !� , <br />..............._ �. ,_ �-� � <br />............ . ............... <br />Superintendent�� <br />............................................ . _................. . .. \'l� �- <br />.................- ..............................................---- <br />.................................. <br />...........................'--..... <br />........... ....................... <br />................................... . <br />Shop Remarks........ <br />................................. <br />..........- - <br />--' ........................._................ <br />................................................. <br />........................................"'.......... <br />............... .................................... <br />................................................................ <br />.................................................. <br />..................................................... <br />............................................... .... <br />...... ........... .........._---............... .. <br />...................... ....................... .... <br />.........._...._..__...._ . ... ......... . . <br />R'orlc Completed.... _._. _ _....._._ ............................ <br />_......._.. ... <br />_._.._ . <br />_ <br />..Purc�man <br />