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...o..o.�. / � • �O Acct. No.2�1.�.,�-��O.1�.1�. ...._� I <br /> .. ; ' <br /> � CITY OF EVERETT W+tcr Dept. <br /> /1�3� �.G� /-l.•.�...... .......ts........ <br /> Applicetion No.:... ....... ..... .. <br /> .... Date...................... <br /> Install............................... inch water service pipc <br /> Owner..............j7 / `' - �'1_/ ............................_............. <br /> .. . q ................................. <br /> Address..........Q..��.y.........G.�-'G�'......... .:.. .._.. <br /> Lot.............................................................Block No............................................... <br /> Addition......................................._....---...................................................................... <br /> Contractor...........................................................................................-- <br /> ..................... <br /> Rem a rks......../.. // ...... <br /> ............................................... <br /> �....... <br /> / Y.�..._.._....._............._........................................................... <br /> ..................... ..... ..... <br /> .................................................. <br /> Amt......................................... Rec.No............................_................ <br /> .... . <br /> ....................... <br /> ._�../•�.`...... ......... <br /> $y..................... � Super(nten nt <br /> �1:.�................ <br /> ...................................""'........................................................ ........ / <br /> ............................................................................. , <br /> ............................................................................ <br /> ................ <br /> - <br /> ShopRemnrks......................................................................................._............. <br /> ....................................................................................................... <br /> ............................. <br /> .......................................................................................... 1 <br /> .............................................................................................................. <br /> ....................... ............................................. <br /> - ......._.._. � <br /> �Vork Completed................................................................................Foreman / <br /> I <br /> � <br /> a <br /> . <br />