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W. O. IO�,O�� • 1 <br /> . ACCt. NO................................. <br /> CITY OF EVERETT—Water Dept. <br /> Application�...�........:.:�...�.-.. Date.........C.Zl...�. .............._......18.._�_� <br /> Install......��.....`.�........... inch water service pipe <br /> Owner............................... ........................ <br /> ^ ....,........................................ <br /> Address......�r.'.�.I..._5............�<<...�'�..�.�...___.......................................... <br /> Lot..............................................................Block No................................................ <br /> Add I t i o n......................................................................... ............................................. <br /> Contractor...... .........................,/ � <br /> �.. .. /t_��,...�............. <br /> . <br /> ................. <br /> Remarks..... �� ...........�-5-aa.�.x..l..o..:: ..:.......... <br /> ............. ..... <br /> .. .�� � ! <br /> .....�.C.. .......---�..._�..:.......v..��......`3.�.n..._5......�......V..c%f.: _."J_ <br /> ................. ..... jf ...........................-"...................................................... <br /> Atnt.......��.".1.....:........... Rec. No...................................._......_....................... <br /> By........................................................................................ <br /> Suyerinlendent <br /> ....................................................................................................................................... <br /> ..................................._.................................................................................................. <br /> ....................................................................................................................................... <br /> ....................................................................................................................................... <br /> ....................................................................................................................................... <br /> ...............................................................................'....................................................... <br /> ....................................................................................................................................... <br /> ...........................................................................................................-"'-...................... <br /> ShopRemerks......................................................................................_.................. <br /> .............................................................................................._.............._...................... <br /> ..............................................................................................._......_......_......_.............. <br /> ..............................................................................................................._...................... <br /> ..............................................................................................................._...................... <br /> ...................................................................................................................................... <br /> ..................................................................................._.................................................. <br /> ....................................................................................................................................... <br /> . ...................................................................................... .......................................... <br /> /� .�-� �,-� <br /> Work Completed.........�...L/�.../.�.�...........`.�......(.... °................................... I <br /> Foreman <br />