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W. D. IORM 3 /I ��/ . . - ` -_ � <br /> ,�'�'g4 X <br /> Acct. Nr,.........'i-��'. <br /> CITY OF EVER'eTT—Water Dept. <br /> '/ � <br /> Application No...1�,�// - Date................:.�.... '�......._...........19..G.•1 <br /> InstalL.................._........... inch water service pipe <br /> Owner................................../..j��j..........................C.......................................----�- <br /> Address.....Z�..�.._?�..._L.:..--��.�. ";J:-%�...��..�..:........................_........_... <br /> �-7 � , <br /> Lot................................................:.............Block No...-• ........................................ <br /> Addition..............__...---........----.......---........................................ <br /> .....--..........----.. <br /> Contractor.............................................----...............------.............---------� <br /> ................ <br /> Remarks......�... .. . <br /> ...................�.._::���......................_..........._........_............__........... ........... <br /> ...........-�..........................................................•�---•--........................................................ <br /> Amt.............---------............... Rec.No....-�-----------............................................... <br /> E, �7 ,O �/�1�t[ <br /> y....:<�".,..�:...:..:..../..----.. ... . ........_--- <br /> ,,f� , Superintendent <br /> ....................."'...........""'..............................."'................................"""'...................... <br /> ""........................."'........................................................""'............................._........_.. <br /> ....................................................................................................................................... <br /> ......"'............................................................................."..............."'........""'................ <br /> ..."'................................""..................................................'.'......................................" <br /> � ................."'...............""'................................."'........................."""_........................." <br /> ..................'.".............."'.................'.......................................................................,..... <br /> ...................."'......."."""............................................................................................. .. <br /> Si;op Remarks........................................................................-----...._.._---......-----.. <br /> ........................................................................................................-••-�----.............. <br /> ........................ ........................................ ................................................................... <br /> ...................... .. ..............................�-..........................._...................................--- <br /> ..............................._ �- .... ........_.....................--�--..........------..............._..................---� <br /> ............................................................................................ ......................................... <br /> .............................................................. . .................................................................... <br /> _.. ........_.__..._-...... .................._.............................._......... ........-- -.......... <br /> ............._................................_ .........._...._........._.......... ....................................... <br /> �'l'ork Completed.................................._........................_......._- ....................._-- <br /> Foreman <br /> / <br />