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r <br /> ��.o.ronw a � � (r7 �� � ^Acct. No......::2.'./�'..:t.'...?�� <br /> ( � � <br /> CITY OF �VERETT—W+te� Dept. <br /> � � � Date................__..�.� ./.....................19..�C.'..:/ <br /> [�pplication No.,l...�.....�4.............. <br /> InstalL.................._........... inch water service pipe <br /> Owner..............._... ..................................................................................................... <br /> .. <br /> .. ............._........... <br /> Address......._..�.'`....��.....,,1.�-t-��:.�..... ...�t�, <br /> Lot..........................•-..................................Block o...._................... . <br /> ..................... <br /> Addition....................................................................................... ............ ................. <br /> Contractor..._................................ <br /> .........................•---....................._.._. <br /> --.......__.... <br /> Remarks.................................................. <br /> ..............................................................._. <br /> ..................................._........................._................ <br /> ......................................_........................................ <br /> Am�..._......_.._.._..-•............... Rec.No............_..._..................-- <br /> ....--....................... <br /> ......_.................._.._............._.........--- <br /> ....... <br /> EY•.................... SuPerintendenS . <br /> ..__.._..--•................................................._....----........ <br /> ..._.._......_......_.............................•--.........-'-----...... <br /> ..._.._........................'--......................................... <br /> • ' � ......................................... ................. <br /> ......................'--'•---._......_. <br /> ....._.......................... <br /> ............................................................................ <br /> ................................................................ ........... <br /> Shop Hemarks...._...............�--�--...............--•-.........._..._ <br /> ......................_. <br /> ....._.....__.. <br /> ..---•--...-----.................................._.................... <br /> .......................................................................... <br /> ..........................................._..................---....... <br /> ........................................................ ............ . <br /> Work Com�leted............................................. <br /> ..................................Fo re m a n-..... <br />