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W.D.FOPM l / ���� Acct. No..::?.....r:.:.f.:::.`.f........ � <br /> CITY OF EVERETT—Water Dept. <br /> Applicatien No..�.��_!{.::�.ti......... Date...............::�...:..1..::.�[:'.�-.........19........ <br /> Install................................ inch water service pipc <br /> Owner..................__..............----.............._.........__.............`.........................---- <br /> . <br /> Address...............�:�. � 1 �iCC _v�:-�,1[.�.�...l:c...�..:...._.................. <br /> _�.:....... ....................:.:�... <br /> I�ot..............................................................Block No.........................- ....- ......._..... <br /> Addition...............................................� ..-.--........._................................---................ <br /> Contractor................................�� -.............................................................................. <br /> Remarks._................................................................�-..........................................---� <br /> ( � � <br /> � U �,, ...................................... <br /> ..................:................................ ........................................... <br /> ................•--............---��-�---................................................................---........................... <br /> Amt.......................�--.............. Rec. No.......--�--................. ...................................... <br /> �i� � <br /> �:: c .... <br /> .Cl.: ��:................. <br /> $y.............................................�� - -Superintenden� <br /> �LC�h � <br /> -'.'.......................................'.""...........................................................................""'..... <br /> ..................................................................................."""".....................'.._......."""'.... <br /> •"'........................................................."........................................................................ <br /> ........................................................................................ ........................................ <br /> ""..........................."'............................................................................................... <br /> ..................................................................................................."'......................... <br /> ......"'..................................................................................... ............................. <br /> ......."".'............................................""'....................._"....................................... <br /> ShopRemarks.......................................................................................................... <br /> ......................................................................................._............................---... <br /> .............................................. ............................................................................. <br /> ..................................................................................................................... <br /> ........................................................................................................................ <br /> ........................................................................................................................ <br /> .............................................................................................�--...............----- <br /> .......................... ............................................................................................ <br /> ..... ......................... .................................................................................................... <br /> !. <br /> �\'orlc Contpleted.............................._............................_................. Foreman <br />