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Y!. O. I uPM��� � � �. .� � "// /� G i �+/ <br />_. -. ACCt. PJO.........._� ....:...........f. <br />CITY OF E�/ERETT—Watcr Dept. <br />npplication No...�ll..�.�� ='. llate ...........................:..:./...............19Cr:.5% <br />In�tall ................................ inch �vater service pipe <br />Address..........�.7��'_:-z:.......:�.?..;'."z' -�-t.........�1.t,--..�t.<.....c:.!l:c..:...... <br />Lot- --��-- -----� -- - -�--- ..... Block No ...................................._----.._.. <br />Contractor.............................�--.._........ _..........................---................... <br />I<em �rks..........y"..:�l..-L. � - ................................................................. <br />Rec. No ..................................................................... <br />By..... ..............._ _---.........----...........................--........... <br />Superintendent <br />...`-'-' .............'-'---"-...------.._......--- <br />..................... ................................ .. <br />...................'-------.._.......... ............ <br />............................... ...................... <br />....................... ................................ <br />........................................................ <br />..................... .................................. <br />.......................... ............................. <br />Shop �'temarks ............................ <br />........................................................ <br />................ ...................................... <br />............ ........................................... <br />Work Complcled. <br />........ .................. <br />Foremnn <br />