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.e�'o/� - � � � <br />w. o. Foan a — ,� .� � <br />- Acct. No:'1.-.�:.:r :�_�:.-.--- <br />CITY OF EVERETT—Water Qept. <br />Appl'cation No...�.R..G.A'..L:i...... Date......_..�i...-...L..,:.L:...�:........._--19....._.. <br />Install ................................ inch water service pipe <br />Owner <br />Addres <br />Block No.... <br />Contractor.................... . -�- ---- -.....- ----.... _................._.........----------.........---..... <br />Remarks.,��-- • ................--- - ..........._......._.............----......- �--- ----........................ <br />� y�� � <br />... -........_... ''' ................. ......... ....................._.........- ............................_......_ <br />: . ................ .....-- --�-----.....................--� .......... ..... -� ----.......................- --............ <br />Amt....................................... . Rec. i<o.-----........._.............-----•.-•. ------._..........--- <br />- �, . � Q A � <br />.`a. - ' , , - 7� . �>-._.�.,s _ <br />Py----- -- --- ...............---------- - ...-----_� . <br />� � _ _ `, �uperintendent � <br />=�.1Ci"� <br />.............................................. .......................................................... . ................ <br />Shop <br />�t�orlc Compieted ................- _...._......._....... ...._.... ..._- .................. \ <br />Foreman <br />