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/ � <br />W. O. FOPM 2 ,�/� ACCL. NO.:.i...C.�G.' .L.i'7.11,..... <br />CITY OF EVERETT-Water Dep�. <br />Application No.../...'X..�..(..::�'-. Date.........-'.� --.1..:-L.t.1 ..............19........ <br />Install ................................ inch water service pipc <br />Ow n e r ................. ......... _...................................... ................ ......... <br />Address ...................�Sz.:%l. �:.....1 Z::�.�.....::� :C. E-: .'.......r��, <br />. . � , ...... <br />Lot...................................�- ........----........... Block No..................... <br />Addition ......................... <br />Contractor ..................... <br />Amt......................................... Rec. No....................-- ..... <br />"C �j: <br />By................................................:�?�.:�i......(.:2:�'i:c4: %:- <br />Superintendent �� <br />,�/C� <br />..... ....................................... ........... <br />....................................................... <br />............................. ......................... <br />...................................................... <br />....................................................... <br />........................� -��---..................... <br />............._ ......__..........---.. .....- - <br />Shop Remarlcs ........................... <br />............................................. _ ... --- <br />�Vork Completed......_..... <br />.:................... / <br />Y'orema� <br />