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i <br /> � � <br /> � � �- � � ,1.:�� \ <br /> W. O. FORM 3 t' .. 7 L�� JL.( . . <br /> .• I �.^ tA.{ � I� _ Ace�. No.................... .......... � i <br /> CITY OF EVER�TT—Vlat^r Dept. <br /> Application No.....1.�,..od:...7.� L)atc...._.. _Ci...:...:�.._� ...............19..��% <br /> Install........._.��.f....:.:.......... inch wa er servic� i�� ,� <br /> Owner...............-�:t�.1�Z.._....._...... __{ .,�-t�-� .... . . . <br /> ;....._. <br /> . <br /> : �( �..� <br /> Address.......... :.%..1.0 ......h �.-.z�...._...�l.-�:.:4-t......L..:G.a.c.t�.............. <br /> Lot..__............... ........_��--...............Iilock No.'.........�......._.......................... <br /> Addi tio n...................................................................................................................... <br /> Contractor...... ............................................_.......................------....��....----........ <br /> Remarks...........................................�--...........................................�...,,................... <br /> .................................................................. .................................................................. <br /> ........................c,......................................................................................................... . <br /> Amt.....�.:�_..�:..................jRec. iI z..�..�.��.........--------............................ <br /> By.l.�.-�,�l..Z�'`�'t.:. L.�<:f.C::l:�:5.�°:C�,?��r.�- <br /> .......... . <br /> � Superinlendent <br /> ...........'_.....................___'.'-...._"......................'_•"""-............................................... <br /> .................. ................................................................................................................... <br /> "".-""'-.......--'-�........................."'.................................................................................-' <br /> .......'.......... ........................................................................."-•""................................... <br /> ...................."'.................................................................................'-'..........................._ <br /> ..................................'--................................."-..........."'........."'...................._............... <br /> ........................................................ .............................................................................. <br /> ......................................................................................'-...............--'............................. <br /> SliopRemarks...............................................................................�---�--..........----....... <br /> ..................................... ...............................................................�-�---............................ <br /> ` <br /> .......................................................................................�--.............-----......... --............. <br /> ...................................... ...................................................................................��---........ <br /> ..............................................................................................................._..._...._....._....... <br /> .................................................................................•---........................--......._............. <br /> ...................................................................................................................�---............... <br /> ...................................................................................................................................... <br /> �'��ork Completed._........._..............._.;.......:................................_..._......:..._............. <br /> Foreman <br />