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\Y.O. FONM 0 // v�� .` <br /> V ACCt. NO..:....::.. :...�i:..� <br /> /i ' i <br /> ......... <br /> CITY OF EVERETT-Water Dept. <br /> Application No.�..c.:�...�..._�.' Date..��Ci-r.....�......G.._�.......----Jd........ <br /> Install................................ inch water servicc pipc <br /> Owner..........--�--•............../..:..............�........................... ...........'.. <br /> Address......... :::....--: `� L x '.._...............- ....._ <br /> .( i iti <br /> �' ... ............... ...:�:.<�:2.L.�.�::C<..�:......�.t.:.�..:....................... <br /> Lot.... .......................................................Block No........................... .................... <br /> Add i t i o n........... ......................................................................................................... <br /> Contractor................................................................................................................... � <br /> Remarks............... ... . . .. ._....................... <br /> p ....... ........................................................... <br /> ----....._1�.�..�...��..... -....................................................--_.._........................... <br /> ................................................................................................................... ................. <br /> Amt.•----�................................. Rec.No....---...................---............. .......................... <br /> � � f� , <br /> � ' .��iL�, L —. <br /> By........................................_i�.:.-..... .----.:........,..... ...._.. <br /> ' Superintend� <br /> �",%n <br /> %V�� <br /> .......................................".........................'-'-'......................................::........................ <br /> ..........--"......-'................................................................................................................. <br /> "........................""'........-'-...................................................................'-•"---.................. <br /> ......... .............................'-.............................................................................................. <br /> ..........................""-.............................-'--'-----................................................................. <br /> ..................................................................................'............."""--'..........._.................. <br /> ...............................................................'----._.............................................................._.. <br /> ............. .......................................................................................................... .............. <br /> ShopRemnrks.........--�........................ ................................................................... <br /> ...-� . ................................... ........................................... ..................................... <br /> ......................................................................... • .................................................... <br /> ...............................................................................................................................� .. <br /> .................................................................................................................................. <br /> ...........................................................................................�---........--�--.......................... <br /> .............................�--................................................... ........................................ ........ <br /> ..............-............................_............_......................................._..-----._...................... <br /> ................................................................................................................................. <br /> 11'ork Completed................................................................................................_._. - <br /> Foreman/ <br />