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/ �/ / � .2�E—ia� � <br />w. o. r.onH � � � <br />ACCt. NO.......L. �:."..:......._.... <br />' ' CITY OF EVERETT--`Water Dept. <br />Application No.../:�! :�..:.:`..::.... Date......_...._='...:. �.:.C;_!� <br />, ......--._...- -19........ <br />Install ................................ inch water service pipc <br />Owner............_--......-• ...............�../..............................J..........:......................--�---.... <br />Address...........�:..�:'1. �-....._IY::.�:r,i:�t:Cci.:l!_�(...-- �. <br />........................ <br />Lot.............. ............. � <br />--- ..................-.7....... Block A'o..................-----........................ <br />Addition...............�•--�----................---...................................................................._....... <br />Contractor................----..................._..----- ..........................--•--..........------................. <br />Remarks.._. J ... ..-r--� ............._.......................................................---.. .................-- <br />...............1 �1�.:.::...................- ..... ��---................................................-�----� <br />............ .........��---.........................................---- �--.................................... ................. <br />Amt...................._.........----...... Rec. No......................__........------ •-----................. <br />By....--� ...................................._....,�)...!.. :.�.:.� a. r, /. ...... <br />Superintendpfit <br />�J. � <br />Shop Remarks ........................... <br />_ _ ---- - - ........................_....................-- <br />........................................................................................................ ........ <br />.................. <br />R'ork Completed ............................................................._._......_.....Forc�i��n...... <br />