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W. O. FOflM J /8,33,�. � � <br /> Acct. No.......�G.:�.`. :......... <br /> - CITY OF EVEI�ETT--Vdater Dept. <br /> � : � <br /> Application No...l��3�..... Date....../..i:::�::�.......�..-...r�'`�.......19...__- <br /> Install................................ inch water service pipc <br /> Owner...............................--.... ..................._..-J-- ......--...._................_......._..... <br /> - <br /> .... <br /> Address.......�.1.r.Lc'_�........ �...'�:�.�G.4cv..!.<:6.1..... :................................�- <br /> Lot.............................................................Block No....�.......---..............---...... <br /> Addition.......................�---....................................................................................---..... <br /> Contractor.................................................................................���--�-----...................... <br /> Remarks......... . .- .- - . , . <br /> ................... <br /> � <br /> �...�........_........._....................................._.............................._. <br /> .................................�---.....................-•----�� �--................................................................ <br /> Amt.................--�----........_...... Rec.No...-----...---•----..........�..../�J' ../.�...............-- <br /> / `/X--�"LL�-f <br /> BY..........................._.........................._....................'"""'..}.. <br /> Superintenden;� �� <br /> ��'/� � <br /> .............................................................._. � ' <br /> ...-�........................�-�----...........---.................. <br /> ...................�-�--.._.._...................................._...............--�--��-�-�-�---�----................................ <br /> ...................................................................................................................................... <br /> .....................................................�--�--�-�--.......................................-��----..............--� .. <br /> ....................•�--•-�---............_..................................._..................................................... <br /> ............................................... ................................................................................... <br /> .................................................................................................................................... <br /> ....................................................................................................................................... <br /> :ihop Remarks...................................................................................... .................. <br /> ...................... ..........................................................................................................�-- <br /> ..............................................................................................•- .................................... <br /> ......................... .... ...............................................................�-................................. <br /> ........................ ...................................................................................._......_.--��- <br /> ..................................................................................................�---............-�-�-.......... <br /> ................................................................................................................................... <br /> ................................................................................................................................. <br /> �\'ork Completed................_.._.....................................................__..................... <br /> L'oreman <br /> � . <br />