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` <br /> /��a^M'O� <br /> . � • � ACCL. IVO................................. <br /> CITY OF EVkRETT—Wate�r` Dept. <br /> / L � <br /> Applicatio�N ....f_�.'...L_��_�Date.....���� ..._�..............._.......19....,.� <br /> Install.....�..��............. inch water service pipe <br /> Owner................ ................./... <br /> �:'�[? <br /> ................................................. <br /> Address.........�..............2..—..:.........(.:..�..�...� <br /> Lot..............................................................Block No.....................--........................ <br /> Addit ion...................................................... ................................................................ <br /> Contractor.... .. ' � � ..� --�............:.................... <br /> Remarks.......,.._!�:.">�f C .-�.. � C �� � <br /> � ......................�..... ................... • �........... <br /> /J� C � r' � C cr r C.�� t�' �� `` C� I <br /> ......... .. <br /> ..................... <br /> 11...... ................l......................................................... ..... ..............-..........1...:...... <br /> ................... ... ..... ........................................................."'......................... <br /> .............. <br /> Amt........... ......_........:.----.... Rec.No............................................_....................... <br /> By......................................... ............................................. <br /> Buperintendent <br /> ....................................................................................................................................... <br /> ...................................................................................................................................... <br /> ......................._.............................................................................................................. <br /> . <br /> pri � ; : . / � , ��i <br /> ........1....... ............../....l..........---.......':......._.............................................................. <br /> �.. �._ c f� i �-i c� ;• .% <br /> ....................................................................................................................................... <br /> ....................................................................................................................................... <br /> ".................."'................................................................................................................ <br /> I ....................................................................................................................................... <br /> iShop Remarks..................... ................................................................_.................. <br />� ............................................................................................_..... ....__.._.........._..... <br /> ............................... .......................................... .......................................................... <br /> . ............................ . ........... . ..................._........................... <br /> Wcrk Com leted.�.�� ...,�/ 7� �� ` !.'.."�'!...-•-�- . <br /> ..... ........ ...................... <br /> p � ... ........ ............./...'. . .............../ <br /> Foreman <br />