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W. D. fOflM ] �( � �y �� <br />_ . I f� �� ! Acct. No._.%:.:-' a 1 i <br />__... <br />CIiY OF EYERETT—Water Qept. <br />Application No.l_., `�='._�:':'"._ Dute__..........__c;�..-./_... ........__19.�'.Y <br />Install ................................ inch �vater service pipc <br />Owner................ ......................._....................................._.........___ --............._ <br />�„ / —. <br />A ddress.._........�f.. %...:__:.-�- .......C/.���Z.��:::�_xc..� �....�.__... �:::i ^—` <br />. ..................... <br />Lot........................._..... .................._......... Block No....._............_......................... <br />Addition......... ............................._......._......._.._........._......._................................... <br />Coiitractor.. .......................................................... ...........................•--.................... <br />Remarks........... t" 21�.:!� :..............._ ....................................................._....... <br />� ...... . .. <br />.............................................._............. -- - - ---- - - <br />� <br />Shop Remark,.......... <br />__..._ ..._ .............._...._.. <br />Rec. <br />Superintendent <br />PJorkCompleted_ .............._..........._...._..............................................__.............. <br />Foremnn <br />