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W. O.FORM ] /���� / � �� �I <br /> ACCt. NO...�r....G.^.:/....... <br /> ' " CITY OF EV�RETT--Water Dept. <br /> � — ��� „ <br /> Application No..�:f.G<:`.?...�.... Date.._./....l.c::1.._1......�_!f..............19........ <br /> Install................................ inch water service pipe <br /> , . �........................................... <br /> O;vner............../.......�---.....---.....................---....,...........f... <br /> Address.......lS.:...�1C�---....�1.�1L.G<=�..1!�.��:.........................._........... <br /> Lot...-�--�.....................................................Block No.................. ............................. <br /> Addition...................................................................................................................... <br /> Contractor................................................................................................................... <br /> Remarks........ ..._.(.:.................................................................................................. <br /> ,//� <br /> . <br /> ------.....'..--�`-��.................................................................................................... <br /> ......................---....._----.............................................---�-�------....---............--.......... <br /> Amt......................................... 1{ec.No........................---�•----..................,............... <br /> BY-....................................................�.�•---.�.1!i%�±:��...... <br /> Superintendent <br /> y,��' <br /> ....................................................................................................................................... <br /> ................................................ ..................................................................................... <br /> .....................................................�---.............................................................................. <br /> ......................�-�--�--.................--�--................................................................................... <br /> .........................................................�--..................................--�--.......---.......................... <br /> ...................................................... ................................................�--•-�---....................... <br /> ...................................................................................................................................... <br /> .......................................................................................................•--..... .................. <br /> ShopRetr�a:ks........................................................................................................... <br /> .....................................................................................................•----..........---............. <br /> ..............................................................................................................._...................... <br /> ................................. ........................................�- -�-............_.........---.......................--- <br /> ......................... -....................................---..._.................----....................................... <br /> .............................................................................................................�-��----................ <br /> ....................................................................................................................................... <br /> ....................................................................................................................................... <br /> ..................................................................................................................... ................. <br /> 1Vork Completed_...__....._....... _. _ / <br /> .......................................................... <br /> Foreman <br />