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����� . �. <br />n��c. Na._... <br />GIT7 OF EVERETT—Water Dept. <br />Application No._..........._ ............. Date..._._.._...... .�.-: � ...........19.� 4' <br />lnstall.....%. �� ............... inch �vater service pipe <br />Owner....................-_....../.........J............... ............................................ _...._........... <br />Address..._f:¢I�'....f7r....�.1...__..._._ ....__..........__......._ .................................. <br />Lot...... - -- ...._--- ......................_._... Block No......................--....................... <br />Additio n . ................... .................................................................................... <br />Contractor............... � � ....................,............................................................... <br />� — <br />Remarks.../�'4�![L.�.C..:........�._� : i-c..!. �� c ............................................._........... <br />Amt......................................... Rec. <br />By ..........:............................................................................. <br />Superintendent <br />ShopRemarks .................../............�/...........................,.�......... ......�,................ <br />......................_...2:L'<:c.:L:F�/.:......(i:.;c<-�.z�c...-.'._��_c�..f:I.�x'_ .....::...._........ <br />�'�ork Completed..........�_-. <br />/ <br />Foreman <br />� <br />