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� /�:I�L/�C,� / �� <br />w. o. F��cM �� ��''� '- Acct. No........:,��.,.., �'.'� L ��/ <br />CITY Of' EVERETT—W1/ater Dept. <br />:� � <br />•i, /1 � : <br />Application No..../..::.:�_._5....... Date........_.-:�.::.......'.i:.�' ..............19._..... <br />Install ................................ inch water scrvice pipe <br />Owner..................-...........---_;.... - - ............................�......._.............----........... <br />-s - <br />Address......7:��,%�...�1.:::'.�:::_,:�::tic:_�_:..C��..�`::� �..........----.......... <br />Loti............................. ....�• -� .............: ..... Blor.k No...................................._........... <br />Cuntractor <br />---- Rec. � .................... <br />� . --� --• .. ..............-................. <br />�� i; . � . <br />By..........�:..:...:�:---.... f.� :!::. �:°�,:::.:.................. <br />7�Li �t?perintendent <br />Shop Remarlcs.. <br />......................... .......................... <br />VdorkCompleted ....................................................._.............. - .............--......._.. <br />Foreman <br />