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9� <br />1{y/�� ,r <br />W.O. FORM ���I'��� ` • C i�U/l <br />� Acek Na..........1 ::...:.:........ <br />CITY �F EVERET'T—Water Dept. <br />App]ication I1o...._�.:!.:-�`....:�.... Date ................::: '.:... �.....................19';:..:"/ <br />Inst�ll ................................ inch water service pipe <br />Owner.........................................................................._:.............................................. <br />naa..,..... �.'/ /'% �.-. . .., ,_.. . , lli�� ,,. . <br />Lot..............................................:'...........Black No...'............................................ <br />Adclition.............................................................................................. ................ ....... <br />Cont ractor .................................................................. ...................................... ......... <br />Remarl;s.......g-.... _. : .........................................--� --... ......................................_..... <br />/ �/��l <br />.................... ........................................... .��-�---......--•-�---.............---................................ <br />... ................. ......... ................. �- ......................................_.................. ...................... <br />Amt............_...........- .............. Rec. No.----...........,.� ........- --.........----.................... <br />-� . <br />� , <br />� . ...:.:�..: �_�'J:. I _,!'� <br />........,. ............... <br />By"'_"....: . ....-�' ,.`/L' ✓�...Superintcndent <br />Shop Remarl;s .................... <br />................................. . ....... <br />................................ ............................. .. <br />......................................................................................................._........--- -... - - <br />�V"o�k Completed ......................_............................_..........__.... . _..... <br />_F�ireman <br />