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M O. � PM J � � ` • ! <br />EiC^%. �'0........._ ...................... <br />CITY OF EVERETT-4Vater Dept. <br />Applicatioa No/"..�._...__ ................ Datc......_9."".`��_._..._.................19.%�.J <br />Install........._�,/.r ............. inch tvater service pipe <br />Owner ................................ ..........................� .. ....'......................... ........ . <br />............ <br />Address.�. ���� g3 <br />%�D"s�.....-lOu��//.-. �.,���.���.._./��• ........ .......... <br />" �wr�<„rr .� <br />Lot..../__b.� ...............................%�_ ..Block No..._...................._..... -............ <br />���u.�,� .......................................................................................................... .... . <br />Con t racto� ................................................................................................................... <br />Remarlcs...... �_�?.J.2L[�..C'.�f...........-�`...�!Ci�.... �°.�.-.�.�7.......�..�::...�%�{l.w� <br />.......1�........�..:� • ............... ................... ........................................................ <br />Rec. No .................... <br />By........................................................... �---............... <br />Superintendent <br />............. ............ ... <br />.............................. <br />...........................-' <br />Shop Remai <br />.....�%�z:.� <br />......................................... ............................................... ....................................... <br />�� ��� ; <br />Work Coznpleted....l..��..''} . ....................`�:-..:.��:f�,C......:'..- <br />—Fonmar <br />��✓GYG''i��'�..� <br />