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� 9 70 : - <br /> . w.d ronw a <br /> - Acct. No................................. <br /> CITY OF EVERETT—W� e► Dept. <br /> c -7 ,�`� y� �� <br /> � l Y-'_. Date.....C'... ......�..............................19.7..� <br /> Application No.../.•..-������•� •• <br /> Install...._.`.j��----�--• inch water service pipe <br /> Owner............../............�.................................................................... <br /> lZ 1........_�..�.IA 'P..J.......................................................... <br /> Address......r....�........... <br /> Lot........................�---.................................Block No................................................ <br /> ................... <br /> Addition............................................................................ .......... <br /> Contractor...�.................................... .........�..........��r J.S...�....�.......... <br /> I� .......�.-'..:.......:.........:=............ <br /> L.�'.n..,........�,1. <br /> Remarks........ � <br /> . .. <br /> ................... <br /> .......................................................... <br /> , _........... ... ... <br /> .. <br /> ........-�---•........................... <br /> Amt........... ... ..................... Rec.Na.........................t <br /> ..,. ....-.- <br /> ............. .................. <br /> $y.............................................. SuP�'�tendent <br /> . ............. <br /> ShopRemarks......................................................................................�---.'"'_ ........ <br /> .......... <br /> ................................................................................................................... <br /> ...................... ........................{................................./................................ <br /> ..... <br /> ......... . � _ .� / _ �_ .� -r/`.-- <br /> `r�y t �� ��:..................... <br /> �Vork Completed................... ..L..........�....................:............ Foreman <br />