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W. D. 1011M 8 ,�O/� � � <br />Acct. No...i.i.-.�I � :.............. <br />�' � CITY OF EVE.ETT� Water Dept. <br />Application No../. �.fi.l. h........ Date....---.-..�..-./._-.(�..� .................19........ <br />Install ..................._........... ir.ch water service pipe <br />Addition.--------........._......_....--------......-- .................._...----....-----.............----...._--.... <br />Contractor..................._............---�--... _.......-•-•------.................---•---------.............------- <br />Amt......................------------..... Rec. No...........----•--........_....---.._-•---..............._---• <br />By.......................�--..........._i.�L.:-�.:.. �.: 5.-. . ... <br />Superintendent� <br />�Q� <br />ShopRemarks......-• ......................---�------...--�------.............---......._.......................... <br />Work <br />Foreman <br />