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W.D. IOP4]/I I I � � "',1C '"� <br /> , Acct. No...._.�_--.....-- <br /> � CITY OF EVERETT.-..Wa�er Dept. <br /> Application No....�..��..7v�::...... Date............�..-../..::.�'..�'�........... <br /> 19---...-- <br /> InstalL..................__.......... inch water service pipe <br /> Owner..................................................................................._..................................... <br /> Address................�.�...... ` � �_ , <br /> ` U %�.......!.::������z.c:c.�.._>.u.:'�........................... <br /> Lot..........................................................._Block No....---..............................--�---.... <br /> Addition...............................................�-�--...................................................-�-�-----.... <br /> Contractor..._................... <br /> .............................. <br /> .................................�- �---•--................ <br /> Remarks______________ <br /> --� - - <br /> ,. ................................................................................................. <br /> ......................1.:��/..�" <br /> ..........._.............._.--�--.....................--�•--............................................................ <br /> Amt.....................------•--•-------• Rec.No._•-----....--...._. <br /> .............................................. <br /> �� ` ' <br /> By..........................................._ .:._�„� <br /> ---�.�..:............... <br /> ............ . <br /> Superintendent <br /> ,,V.�, <br /> ............'............................................................................... <br /> ....................."--.................................................................... <br /> .................'-'-'•'_'•""...."'..."-............"'.................................. <br /> ....................................................................................... <br /> ..........................................."-'......................................... <br /> "'........................................."•'-..........................................-"• <br /> ............................................................................................... <br /> ......................................"--..................... <br /> ........................................................... <br /> Shop Remarks........................... <br /> ............................_........----.............-..--�-............---- <br /> .. ................................................................................................... <br /> ............................................................................................... <br /> ................................................................................................ <br /> ..---�-.....--•.................................................................................. <br /> .............................................................................................. <br /> ...--� ............................ ............................................................ <br /> ................................................_........--��---.............._...................... <br /> ......... ................................................................................. <br /> \Vork Completed.. -�................_................................_ , <br /> ................... ......... .. ' <br /> Foreman <br />