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�o,0 7� . _ . . <br /> . ` - a��c. r;o........._. ........ ..._... <br /> CITY OF EVERETT—V✓ater Dept. <br /> Appli�:ation No.r"':.:.:..�:_1:.�;... Date......::,...`.�'::ii......:��....��._......19G.:� <br /> Install............................... incii w3ter service pipe <br /> ' � �� "�,{ <br /> . � , � <br /> 4—" /' /� .__ ,, ,_- � <br /> Owner..........:_?s......:�::4�..:.:.a-..:__-. :::_..__„ _...._................... ........ . <br /> � , <br /> f�ddress �/-.� .3 / ��-->'� l � '� '/ <br /> . <br /> � •--�. , :��. , <br /> ._. ........__...__......................_........._. <br /> Lot............... ................ .........................Block No................................................ <br /> Addition....... - ...............- - ................__..........._................................................... <br /> C.ontractor..... ,......................... <br /> / .._��..... --................... ................................ <br /> '.�emarks......._: . . . _r'�f.��r_ -_�, � <br /> ...._..................:...:........................._.........._..........._....................... <br /> .................. � ............................................................................................................ <br /> -- ......._ _...............--............................_r/.....'............_..�.- ............................... <br /> Amt...........--._........ --......... Rec.No......._...�..�..........................-.. <br /> /, / <br /> By.......................`..�..�'.J......�...-�.i:..C::?:..:..................... <br /> � Superintendent <br /> t � <br /> .................................... .................................................................................................. <br /> ...................................................................................................... ................................ <br /> "'.................................................................................................................................... <br /> ....................................................................................................................................... <br /> ..................................................................................................................................._.. <br /> ..............................................................................................................................'-....... <br /> ............................................................................................................................... ....... <br /> ....................................................._--....._........_............._......-'-----...._.......................... <br /> ShopRemarks................................. � ................... ...............-�---......................... <br /> ............................................................ ................................................................ <br /> ..... ............................................................................................................................ <br /> ....... ........................... - ........... ............_...................................._..----......._---...... <br /> ................._.............- - --.......- -............._...._........................._----...................... <br /> ................................................................ ......... .................................................... <br /> ............................................................................................................................... <br /> --� .................................................................................................................................. <br /> ....................................................................................................................................... <br /> \'Vork Completed......._.............................._............ _..__....................................._. � <br /> Foreman <br /> - � <br />