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�� . � �3 - . . ._: <br /> w. o. r� <br /> ACC�. NO................................. <br /> CITY OF EVERETT—Wate,r Dept� <br /> , � <br /> Application N .....'..G..7..3.... Date.........�.. ... .�..�/...�7....�--.19......-- <br /> ,._ . <br /> Install........}...L�.............. inch water service pipe <br /> Owner................. ................................ <br /> C' '� o -z_ �",...................................:....... ..................... <br /> Address............? c�-�1.. e r-P � � <br /> .................................. ..... .................................... ....................... <br /> Lot........................................ .....................Block No...................._----...................... <br /> Addition......................................................................... ........................................... <br /> Contractor... . .... . .......................................................... <br /> ........ <br /> � <br /> �... ... �....�.......��ar (L C_."""'...�r............. <br /> Remarks.........�..�....... .. .......................:......�............V....... <br /> . : <br /> kj. ,*-n ���?..` �� �.:.................................................................... <br /> ........ ........................_... <br /> ................ . . .. ...........................................................-----..................... <br /> Amt.....-- --.. <br /> .... ..... ........... <br /> .........:. ........... Rec.ho...---.............................._............................... <br /> By...-�................................................................................... <br /> Superintendent <br /> .......................................................................•---..........................................................-- <br /> ....................................................................................................................................... <br /> ..............................._...................................----............................................................... <br /> ............................................'--........................_.........-'---............--'--......---....................... <br /> ...........................................'--..........---..................................._..............................---....... <br /> -'................................................................................................"-'-'----"-'-------............... <br /> ..........--•�...........................................................'--.....-----.............................................--'- <br /> ............................................'----.........--'--.............................................---..........----.......... <br /> ShopRemarks..................................................................•----..............---�----•---........ <br /> ....................................................................�---..............................._......_...................--- <br /> ......................................................................................................._......_...................... <br /> ............................................................................................................ .....�---•--............. <br /> ....................................................................................................................................... <br /> ....................................................................................................................................... <br /> ....................................................................................................................................... <br /> ....................................................................................................................................... <br /> ................................................. .......... ......................................... .. . . . <br /> .. ........................ <br /> l _ '7 Z r / <br /> \'Vork Completed............ ...1....I............................1.....:....�.��..:e.:a.............. <br /> Foreman <br />