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- __�. , <br /> K�. o. ronw a �.f Iw4�� �F l' <br /> . � � r �� Acct. No_....%:�':�:�!.:=...0 <br /> CITY OF E;/ERETT-YVatcr Dept. <br /> Application No.,�J`.'.�...�:/..'.' Date........_..........�....1..........- -...19..!%..�/ <br /> Iastall............................... inch water service pipc <br /> Ow n e r.......................................................................................................................... <br /> Address........._�!��:''-��..._,��n:.:..�Z`..._'/..�r.��v-G...14t:�-............... <br /> Lot....................................... .....................Block No.....--........----�-�---..................... <br /> Addition....................................................................................................................... <br /> Contractor. �......................................................................-----.........._. <br /> ..................... <br /> . <br /> Remarks.-----,�---�._.:�.................................................................................. <br /> ...................�----••---.............- ---....................................................---......... .................. <br /> .................��---�--...........................................................................................................- <br /> Amt..................._................... Rec.No.............................................---..................... <br /> By....................................................................... .......�---... <br /> ,' <br /> Superintendent <br /> ................................."...........................................-'-.....-"-'-'-"---.................................... <br /> .................'............................................................."-....................................'-."............ �" ' <br /> ............................""....................................................................-".......--"-.................... �. <br /> ....................""••-".............................................................-"--.........."'--.......................-' <br /> ".........................""'.......'.-"--......................................................................................... <br /> ................................'-..............................................................................._..................... <br /> ...............................................'-..."-......"-•'-'-'................................................................. <br /> ..............'---.............................................................................._...................................... � <br /> ShopRemarks....................................� •----............................................_.......�---..._.. <br /> ....................................................................................................................................... <br /> ...................................................................................................................................... <br /> ...................................................................� �--.......................----�-��---............................. <br /> ..............................................................................................._......_.....---...................... <br /> ...............................................................................................................�-�--•---............... <br /> ...................--.............----......_..----........._......................-�-�---....................-�------............... <br /> ..............................................................................................................._......---............ <br /> ....................................................................................................................................... <br /> �4'oi9: Completed............................................................................................._...... <br /> Foreman <br />