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/ 3,� � � <br /> -�'/.�11M f J <br /> ACCC. NO................................. <br /> CITY OF EVERETT—Water Dep�. <br /> ApplicationNo...�.53..'�'.�... Date.......................�.. _�..............19�.� <br /> � i� <br /> Install...........�.................. inch water service pipe <br /> Owner...................................... .......................... <br /> ........................................................ <br /> Address....�.�:'�✓ ��" U�J/�Qc <br /> Lot.......��.._?.�--................................._Block No............_......_......._................ <br /> Addition..................................................................... ....... <br /> .......................................... <br /> Contractor....................................................... <br /> .................................�--...................---.. <br /> Remarks...................................................................................................................... <br /> ......................................................................................................................•--............ <br /> ....................................................................................................................................... <br /> Amt......................................... Rec.No.............---..................................................... <br /> By......................................................................................•- <br /> t Superintendent <br /> ..........................•-•--........................................................................................................ <br /> ....................................................................................................................................... <br /> ..............._...................................----.......................................................---.................-'-' <br /> ....................................................................................................................................... . <br /> ..... ...................'-•---.................................,...... � <br /> � ......................................•--.............---...... <br /> Shop Remarks..:l..l�!.:�. '� ;,St::4:.�_`......l...�::r.:��".r::c:y�� <br /> .......................................................... .....................�-��---................_......_...................... <br /> ..............................................................................................�---....._. � <br /> ............................. <br /> ...........................................................................................................•---_...................... <br /> ..............................................................................................._..............-•--•--........---�•--- <br /> ................................... ................................................................................................. <br /> ..............................................................................................._...................................... <br /> .................................................•--.................................................................................. <br /> ....................................................................................................................................... <br /> i , / _,� <br /> Work Completed...._�'....�.::....::..�....................`..:..'.:..�:�.r.t.':...'_:'._`��...... <br /> ForemTa f� <br /> \ <br />