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U'\ <br /> W.D. fORM] /���� ._. . �•, <br /> Acct. No...:_...:.i,.�lt:.�....... <br /> - ' CITY OF EVfRETT'—Water Dept. <br /> n.... `�....._...._19........ <br /> Application No...�.!,J.;:_�.�...... Date.................:''. —1:...... . <br /> Install................................ inch water service. pipe <br /> Owner.....-•........................................................ _._....---..........,................................. <br /> .. ,. <br /> , 4 �J1.', -�::._,..::�c/..<�•.t;.r::�.<.�.................... <br /> Address...................�:.f....t_c..................,.... _ <br /> Lot..............................................................Block No................................................ <br /> Addition...................�---........................._............................................................ ........ . <br /> Contractor................................................................................................................... <br /> Remarks...........................................................................�--.....----..........................---� <br /> �J, �' <br /> t1........................................................................................................ <br /> ................_r . �C:' <br /> ...........................�--..................---......................................---._......................................... <br /> Amt......................................... Rec.No.---......._.........---....---...........................----....... <br /> , , /,� <br /> [ . ,(:':'Z.'�'•y��c. <br /> ............'_......:.:1.......... ..""........... <br /> By��� ������ ��� �������� Superintendent� <br /> _�G(� <br /> ...................................................................................................""'.............................. <br /> ..................'-""'-"-'.......................................................................--'............................. <br /> ....................................................................................................................................... <br /> "................."'............................-'-...................................'-'.......................................... <br /> ....................................................................................................................................... <br /> ...................................................................................................'--"""'..............-'-....... <br /> '...........................................................""---..."--'....................................................... <br /> ...............................................".................'-"'-'-'........................-'-'-"'-'.................. <br /> ShopRemarks........................................................................................................... <br /> ........................................................................................•---�•--�--•--••---.-.......... <br /> ..............................................................................................._.................----�----... <br /> ......................................................................................................................... <br /> ..................................................................................................................... <br /> ............................................................................................................................ <br /> .....................................................................................�-•-�----.....---............... <br /> ................................................................................................................... <br /> ................................. ..................................................................................................... ! <br /> �'Vorlc Completed......._.......................................................................Foreman-..... <br /> 1J <br /> i <br /> �� <br />