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� �,�oA�2 � . � . <br /> A��c. No............. ................... <br /> CITY OF EVERETT—Watgr Dept. <br /> p 'Ze� ` <br /> Application �Vo..1..7.�........_..I llate....._ � ..... .�.....�..._...__...........19�..2 <br /> Install..���............... inch water serv1'ce pip� <br /> Owner.............._.�.�...` n C �_�.�..tc!�1.,.......�y'..�`..)�.................---............ <br /> Address.................................... ................................... ............................................ <br /> Lot..............................................................Block No..................................--...---..... <br /> Addition............. �--.................................................................................................... <br /> Contractor..... .... { .. �... ./ ... ................................._................ ... <br /> � •� .r, G� /7 �-t�3 $ 4 f Y <br /> ........l......................"'............ <br /> ....... '`� ,,�/ <br /> Remarks.......��.1--� ......S.Y............. ...I i• � <br /> r <br /> ....................................................................................................................................... <br /> ............... ....../� ..................................................................................... <br /> Amt.�...[.-t:.._:................. Rec.No.................................................................... <br /> . ................. <br /> }•.......................................................Superintendent <br /> ......--•'--�--....-•.................................................................................................................. <br /> ................................................................�---.....................................-'---........................ <br /> ....................................................................................................................................... <br /> ....................................................................................................................................... <br /> ................................................'---................................................................................... <br /> ....................................................................................................................................... <br /> .........'............................................................................................................................. <br /> ....................................................................................................................................... <br /> ShopRemarks..............................................................................................._.......... <br /> ....................................................................................................•-----............--�--......... <br /> ...............................................................................................................--...---......... <br /> ............................................................................................................................... <br /> ..............................................................................................................._............ <br /> ............................................................................................................................ <br /> ............................................................................................................................ <br /> .................................................................................................................... . <br /> .. ............................. ........... ....................... .............. ................................. <br /> ............... . . ' <br /> `L � � l-t.._.T,:��-...... <br /> �� ���� Foreman <br /> � <br /> \Vork Completed......�..1..�. ...-7................. .. ....... . <br />