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� �'62 76 - . <br />W. O. FOHM J <br />Acct. No...r...:n"� �" <br />............. <br />CITY OF EVERETT—Water Dept. <br />Applicatiun No..l�:�.��...... Date....... ,-`/-":,<<._-.>..'�.'.: <br />� <br />- - ....19�.5� <br />Install ..............�Y........... inch water service pipe <br />Owner...........,.:�fi.� s:Lc- ---.���af .............................._..................................... <br />Address.... ---...Pl...T...���� -�;x�r.��.......,.�3..P:���.-......._...-- - ..................... <br />Lot........... .........�.= -:........ .............. Blocic No................................................ <br />Contractor...o%.Z.s:.�.4F..T..:.�lt.Jv.t.zt..-.L.�:-?.�- :.�i:s-:..l�.�..`.sa�.:E�3;.�,y-�� <br />Remarks........rY�.t�r:ar.c...../'.,�e:u-t.�....- ......................................-----...---- <br />..............................�..ta.azt�c....... _.f�:u�s:-,r.f.:E.................._.._.......................... <br />ii'C �,-�. <br />Amt...................__� .............. Rec. No........�z.�f2.- y...................---................... <br />BY ............................. �.«. r�-,->-. <br />.........- �--� ........... . . - --..... <br />Superintendent <br />)� �i✓, <br />.............................:._...................... ..........................................---................................... <br />.. _.......-"'-`-'----`-----'----,.. --- <br />........................... <br />( �.� <br />SliopRemarlcs ......................................................................................................... <br />................................... ................................... �--.................................................. <br />..................................................... ...................................................................... <br />.............. ................................................................................... �--��---�--..................... <br />...................................................-- ..............- ...........---........_........---.....--.............. <br />........................... ................................................................_.............................. <br />................ ............... ......................................................................�- .......................... <br />..................................__....................................._......................................_......_...._ .... <br />l�l'oi9: Completed__ .................._........ <br />_. ......... ..... .................. _ _ ............. ... ..... <br />Foreman /' <br />