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l�t�� d - � . , .- _ <br />w. r: ronw a /LCcI. NO........... _ <br />CITY OF fVERETT—W ter Dept. <br />`� Z'ZL�.. Date.....L1 ..�.�:._ � ......................_.19...1..1 <br />pppl ication�o..l .... ........ ....... . <br />3 � '� <br />Install .......:......�................ inch water serv�ce pipe <br />� ....._� Z l ......... ... <br />............. <br />Owncr .................................. ................. <br />....................... <br />�j�� � ��.�...__.....__..._`v..�J.1:.../ ................... <br />Address....................................................... <br />Lot.............................................................. Block No................................................ <br />Addition.............../.. ..................................................._ _ <br />Contractor........1-.. '�-?-� � <br />.. .-r..�-� <br />........ <br />R emarks ................l...Y�............ ...... . .... <br />... <br />.. . <br />............................................ <br />..................... ... . <br />........... <br />Amt.................� .......:.......... Aec. No............................ <br />. � . Superintendent <br />- sy..........--' ............................ <br />� <br />, -• ..................... <br />. -��..::...:�...�..-�� ...................................................................... <br />.......... <br />.................................................... _............. <br />.............- <br />,,�.7 .... , ......................................... <br />"hop Remarks.. ... .����-��""•-�-' <br />7��e i n.., rn.. C<4�e!<:�...-.rA..C�a-Q.......----'- <br />__ <br />�:.. (.h ....... ...'�-#....... .. <br />... ...........'........................ . <br />............'..__. e <br />� ... .[.(� ................ <br />........................................ . � <br />............._...._ <br />�..... N_1-......... �-- ...................................... ................. <br />. ............. .................. <br />............... � <br />...................................................................... ... <br />' � ' � ,/�/.r:.. -_'. . .v7 ................ <br />Work Completed.L1......�,�.........�,�.......-.......... Foreman <br />