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W. 4 LORM D /v ��/ 4 /�/ 9 <br />Acc.. No..._..y..:..7�........---- <br />CITY OF EVEaETT=Wafer Dept. <br />Application No... ./.I1.:�. �I.l.......... Date..._f ./1�C�Y..I._c.�i.�..�j�........_......_19...----• <br />Install ..................._........... inch water service pipe <br />Owner................................... � ................ .................................. <br />- ./ ..,..y........................ <br />Address._..... I.rr/�... . ... : I�:!�!1......e4.f! : <br />................. ---_._.......................-- <br />Lct..........................� --................................ Block No......_....._.............. <br />Addition ............ ........................................................................ <br />9mt..- ..................................... Rea No.........---...............---.........----�-��--�•--................ <br />IIy ................_..........................._�; ,� �Cl�,Ch. - <br />...................... ..... <br />Superintende <br />....................."_"-"'-..'.'--------_ _ _ . . �'%_ <br />:ihop Remarks. <br />............................................................................................................................�----...... / <br />.......................................................................................�--............................................. <br />................................................................................................ ................. .................... <br />�\ w•l: Completed ...................................................................................................... <br />Foreman ' <br />