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w. o. ronM a / ��I`� •^ � <br />\/ Acet. no..:.-�...-�;././..% <br />_ --...... ` <br />CITY OF EVERETT'— Water Dept. <br />� � <br />Application No...�.7.�:.G:1._..... Date........._ =` _.../...=..L :....................19........ <br />Install ..........................._... ivch watcr seraice pipe <br />.,....,... .........................-�---__...__.......................-----............. - - - _ <br />, , � <br />Address..........._�._!.�.<�..�........L�C.i' r.�. �. . �;:.t..�....;C':� ..:................ <br />Lot..................._.....---........................._...... Block No.........._........_............... <br />Contraclor ................ .................................... <br />Amt.................................�----.. Rec. No..................................................................... <br />'l.l.'.'..�:: 4_ �..' <br />$y--- ........................................._� . <br />�S�u!p'erintendent �� <br />tf.r � <br />..__ ............................_........ ........--........ ...................... --................---_.................... <br />.......................... ........... <br />Shop ftemarks....._.. <br />.....__....._ -........._ ..................... -- <br />_.........._ ..............._.... ............. - <br />1\'m•lc Completed._....._ ......................................._._ ..............--..... ........_._...... <br />r'oreman <br />