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W. D. lORM 3 /�/,� m <br />. . .� Acct. No. � 2.. l.c:.l :............. � <br />CITY OF EVERETT—Water Depf. <br />� �/ . Date..........�� � � � <br />Application No....- � �'._..�1 -. �.ai.: 4::..../...:..L...'I.....19........ <br />Install ................................ inch water service pipe <br />� <br />Owner.....--� ........................ ...�./........ ...�--.....�. ,......................... ........................ _...... <br />Address ..................._. --��•i'.��� .�X(.:c..��.�:'..b«.�:�.......... <br />..... .. l /� 1 ::................... <br />Lot.............................................................. Bliick No............_................................... <br />Addition..---- ..................._...---............._. <br />. <br />Contractor <br />Amt.-� ...................................... Rec. No....................................---....................--•-�-��-- <br />By ..................._.............. �cl�--.c_,�y <br />`_ . <br />................ ) ...........� <br />�..:.......----. .... <br />Superintendent �f <br />...._��_�� �i,lr: \%, <br />......................... ......................�--�----..........---- .........................................--�- <br />-�� - 1c, <br />Shop Remarks ..................... <br />__ --- - --- -- ......................... ---..................... <br />......................................................................................................................... ............ <br />NorkCompleted ........................................................................_........_......_. ._.... <br />Porcman <br />