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W. O.IORM / I ��� il . N <br /> ACCI. NO...:...�_..._..!..`�::..:.... <br /> � r CITY OF EVERETT`—VJatcr Dept. <br /> Applicr.tion No...l.:l:�. .":..':... .... Datc..... ... ._..:'�....:..1.. :._�r...:�...........19........ <br /> Install................................ inch watcr scrvice pip� <br /> Owner.............................................................................. ....... . ................................. <br /> : <br /> Address.............�i:.Y.�.1..........�!:,C..1.>Lt i...:'...1�.::�.�.:........_................................... <br /> Lot..............................................................131ock No...._.......................................... <br /> Addltion....................................................................................................................... <br /> Contractor............_................................................................................................... <br /> Remarks.........�.���............................................................................................. <br /> ...................................................................................................................................... <br /> .............................................. ........................................................................................ <br /> Amt......................................... Rec.IQo..................................................................... <br /> � `�; <br /> By................................................:��._G......(.S�.t�.'�'.: ..... <br /> Superinlendeu� <br /> .lC�' <br /> ..................................................................................................................................... <br /> ....................................................................................................................................... <br /> ....................................................................................................................................... <br /> ..................................................................................................................................... <br /> ....................................................................................................................................... <br /> ....................................................................................................................................... <br /> ....................................................................................................................................... <br /> ............. ......................................................................................................................... <br /> ShopRemarks........................................................................................................... <br /> ............................................ ................ ...................................._.............................. <br /> ...................................... ........................................................................................ <br /> ...................................................... ........................................... ........................ <br /> ..._......._........................................... .......... ---........ ......._......_.............................. <br /> ..................................... ........................................................................................ ..... <br /> .............................. .............................................................................................. <br /> ............................. .. ............................................................................................. <br /> .........._....... ........._....... ......................................... ............................._................. <br /> N'm�k Campleted. .._�_.. . .. __. <br /> _............................_ ._............ ._........ . <br /> Foremon <br />