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� '' y � C <br /> ,�. �. �_�� � t� . - <br /> . _ � � _ Acct. No.���.c�_:F...:�. . <br /> CITY JF EVERETT—Water Qept. <br /> -;'_ / i c G ✓ <br /> Application No.f���/G'.... Date...................r.:.....i.__....._........... . <br /> Install................................ inch �vater service pipe <br /> Owner...............................--.......... ..............................._...... _ ....... .........---.... <br /> - - - : <br /> Address.........::�....�1.�..._!e.�...L�i.r...::z.c _4;:�t....................._........... <br /> Lot..............................................................Block No.......... .........---....---................. <br /> Addition............................................................................................................... ....� <br /> Contractor........ ......................................................................................................... <br /> i• <br /> Remarks..........�..�..._<.-:e-.............................._- --........---...............................-- <br /> ..................................................................................................................................... <br /> ................................................ ..................................................�---...........................-�- <br /> Amt............. ........................... Rec.No.................................................................--- <br /> By................. �--.....................----........................................ <br /> Superintendent <br /> ..............................."-..................................................................................................... <br /> .............."'.......................................................................................'--............................ <br /> "........................................................................................'..............'-""...................-"' <br /> ..............""...............................--•"............................................-'-""---.................-"..... <br /> ..................................................."'-'...."-'---'....................................---............................ <br /> ........................................................................................................"'-""....................... <br /> .............................."'.....'---..........................................................................................." <br /> ....................................................................................................................................... . <br /> ShopRemarks...........................................................................•--........._.......-----...... <br /> .....................................................................�---........................................................ <br /> � ..................................................................��--............--�--...---.....................---............. <br /> .. ................................................................................................................�----.............. <br /> ............................................................................................................._........-�---....----• <br /> ...................................................................................................................................... <br /> ................................................................... ... ...........................................................�-•- <br /> ....................................................................................................................................... <br /> .......... ............................................................................................................................ <br /> \Vork Completed..................................................................................................... <br /> Foremnn <br />