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W. O. FONM � /���� ^ � <br />. - _ _ n�<<. no.--.�%�:i�'. .......... <br />� ' CITY OF EVERETT—Water De�t. <br />Application No.-��--(�..-�.L:J. . Date_�JLL':�:..../.=.C.-7..---------19._..... <br />lnstall._.._.._..._..._.._._......... incl� water service pipe <br />Owne: .............----...........-- -........ .. <br />---- I / ~ <br />.......- �-- -.... . <br />Address........ . - --= �� ' <br />� �(.:� ........ ..... .. -'G..7t� <br />Lot.............._......._.._.........-�- • .....- ......... Block N <br />Addition..................._.. ----�-------�---....-- -.. ...._....- <br />Contractor.------...---�--- - �- --�----- -----�- - - - - <br />Amt...._.....-�---�-- - . ................. Rec. No.-- ......._.........................- •- -.....................---- <br />> �, .. �` '� � <br />� '. <br />. <br />:•' './ � �� ��� <br />_ P.y_ ..........................---• -.._............... .:------.. ... <br />'� -- % - � • Superinten�te <br />� <br />.._. -'-""' ........... ......_........... _..................................-'-"--....... _--'.........='-"'_"'-'.............. <br />Shop Remarks........._.._--.......... <br />14'ork Completed..._........._ ........................_.._....__........_...._.................._............. 1 <br />Foreman ` <br />