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w. o. roar a /��08 j( ��_ x <br />,�-j� �ICCt. �0....1..:. _.. ..."" <br />r- J <br />` CITY OF EV�RETT—Water Dept. <br />Application No,..��i.c �f..���..... .. Date...._ .�_- /..-.�C?..f,� ....................19........ <br />Install......._.......----•.......... inch water service pipe <br />Owner................... ........................ � ../..7..�....---........................./.......... _................------- <br />v. �.......... y-YR::3x t�G.�j.:.. �C.l :..........................----- <br />Address ..............Y?`.�.. .�/..... <br />i/ <br />Lot........---........--• ••----�-•- ............... ....... Block'1Vo.............-------••------.........-------- <br />Contractor.------•-�q�---- .. ... ........... <br />Remarks....Q�!V' :..... ............ <br />Amt..................._......_.._....... Rec.No...._......_......__.........-•-•----...................-�----�-- <br />By..............._...---•..._..._.._.._.�.�..�:.._�='�,y�r..�........ <br />Superintendent <br />�� <br />Shop <br />WorkCampleted .................................................................................................... <br />Foreman 1 <br />