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W. O. FORM 3® �✓S" d,I�'�. <br />Acct. No.....J......�a?T......... <br />CITY OF EVEPETT—Water Dept. <br />f„ <br />Application No....L z�.��....... Date ................... . .... _...19........ <br />Install..._ .............. _........... inch water service pipe <br />Owner............... _........................... a............ ..... ...... .,................. _... ................ ...... <br />Block <br />Contractor..._......_......_.._.._......_----- -......_.................._.._......_..._._..------.._..__... <br />Amt.-----......_...................... _... Rec. No ...................... --._.._....... ........ ... _....... <br />. <br />By.............. - .......... .......... 7.... ...... � ............. <br />per' to dent <br />Shop <br />Work Completed ....... ...................................................... .----------- _----- *.............. <br />....- / <br />Foreman I/ <br />