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�Op99' <br /> w. o. ronw a .\CcC. TlO..........._.................... <br /> " CITY OF EVERETT—Watcr Dept. <br /> _ �- /�i y J /. <br /> � '��'��% Date.:iy"�.��.....:...`....:.-:.�..._...._l�c...... <br /> ppplicatiun No.................._�... <br /> Install ,�`f••-•- � 'nch water-s "tvice,�i e <br /> _ __._.... ....... I d p ) <br /> .i 7 ` . ._ `f �/E.�%cC/ <br /> - ` ............,.. <br /> � .................. ....... <br /> ..�....,< .�.,...:_;-__.;....... ; J, ,,���/..: <br /> Owner_........�.......::.._ !i" <br /> /jPo �!-.� .�!,.;_��,:.:^.:-�.�._���..... . .. <br /> Address.......:..... ........ .......................... <br /> _. <br /> Lot........ .....................................................Block No................................................ <br /> Acidition......................................................................... ............................................ <br /> Contractor� ................................................................................. <br /> Remarks... ,..��:t.:a:.x(:�t.;.� !<—,��......................._............................. <br /> . ................................................ ............................... <br /> ............................................................... ...................................................................... <br /> Amt......................................... Rec.No................tq..... <br /> ......... .....�....................... <br /> . ' i, <br /> . � <br /> <_�- `—: _'�.:...................... <br /> By....................................................�... perintendent <br /> ................................................................._..... .......... <br /> ............................................................................... <br /> .................................................................................... <br /> ................................................................................. <br /> ................................................................................ <br /> ............................................................................... <br /> .............................................................................. <br /> ........................................................................... <br /> ShopRemarks..................... ................................................................................... <br /> ........................................................................... <br /> ............................................................................ <br /> ........................................................................... <br /> ...................... <br /> .......................................................................... <br /> .................... ... .. ............................................ <br /> ................... ........................................................ <br /> .Work��Complr.ted...._.._........................................._..............._.............Foreman...... ( <br />