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/%z8/ R <br />w. o. rorsH a <br />Acet. No..-_-:�-.`/..:�:�..�.'.-..-.... <br />CITY OF EV�RETT'—Water Dept. <br />Applica!ion No..�.�.f. ='-:S,l-.--_-.. DaYe..............'�- / -�e: <br />..... ........ .. ....--...._ 19........ <br />Install....._._ ....................... inch water service pipe <br />Owner...........----.. <br />Block <br />Addition........ <br />Cont ractor..---------------....--- - --......_ <br />Remarks.........-- -...-------.........._... ..... <br />.....---------� �'��'C'� .................... .. ...... <br />Amt...............-•------------------ Rec. <br />� �'�:—Li? c� <br />By................................... ............-�.:.��.��:.../.........._...=J , <br />Supe£ �endent <br />���� <br />Shop <br />- ........._.... -- ................-.._...................-- - ............._...--- _...._............................ <br />Wor]c Completed ................ - ............ ......�--..........._........_......_...................... <br />I'orem�n <br />