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. W.D.FOpM f /�i O 9 .Y <br /> ACCL. I�'0..... �'''� � <br /> . ... _�....._._... <br /> CITY OF EVERETT---Watcr Dept, <br /> i� <br /> ApplicatioiiNn...L..,)..I.'.�.�. ..... Date_�/1�:.� ....L... L. := <br /> _.. _.._.......1�J........ <br /> Instnll................................ incl� watcr scrvice pipr <br /> nw n c r...................................... <br /> Y <br /> ' .. ....................._................ <br /> .. ..................... <br /> ... ... . <br /> A�idress.........��ti �.J..... 1..�4.�..f_r'tC.......:�. . <br /> ... . ........ ......._.......................... <br /> Lot.......................L./............ ....................IIlock No........Y................................ <br /> Addition..... .......... . . . <br /> ........... ................................................................... ............... <br /> Con tractor......................... <br /> ...................................................................................... <br /> Rnmar4s.................`..................................................... <br /> „ � <br /> , ............................................. <br /> , <br /> ............................ .:................................................................................. ............. <br /> . .................................................................................................................................... <br /> Amt........................................ Rec.No........---....................................................... <br /> �>'�� � <br /> . <br /> Y........................................ � �_ <br /> ........................................: ... <br /> . 3uperintendent � <br /> � �� � � ' . -�� <br /> ...................:..� <br /> ........... ......................................................... <br /> , ............................... . <br /> Ji <br /> ....................................................................................................................................... <br /> ................................................................................................................................. ... <br /> ....................................................................................................................................... <br /> .. .................................................................................................................................. <br /> ..........................................................................."'....................................................... <br /> ..........._....................................................._"......._........................................................ <br /> ............................................................................................................................. ........ <br /> Sliop Remnrks....................._. . <br /> . ................................................................................ <br /> ...... .............................................................................................................. . <br /> ................................................................................................................................. <br /> ............................................................................................. ................................... <br /> ......................................................................................................................�--........ <br /> ................................ ............................................................................................... <br /> ................................................................................................................................. <br /> ................................. ................................................................................................... . <br /> _..__ _....... ....................................... ... ................................................. .... <br /> R'ork Complcted _ _. <br /> _ _ <br /> _ _. . . __ <br /> ..r'oromm � <br />