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�0�0 q 3 � . <br /> = � n��c. no................................. <br /> CITY OF EVERETT—`Nater Dept. <br /> =�' ' ,�t'�G� ..1 l <br /> l'c �� � ✓..�..........is._:.'.� <br /> Application No.:::-.:........::..�.._` Dat.e..._�..:...... ._......__... <br /> Owner...... <br /> .... ,;._ . �vch water;.4e�ice pipe <br /> -i , <br /> Install.... <br /> .......... %n� <br /> , ,-�- ., , � <br /> � ' ...._......j..._.......................... <br /> .............................1:...��:M:_�....__ � <br /> �C4�i..1. <br /> ............. <br /> � .� / <br /> ,�^J U��.......�/1�....wSL/..:...::... ..d..:�'_'......._i•:X.�........................... <br /> Address...:........ <br /> Lot..................... ........................................Block No..................._............................ <br /> Addition....................................................................................................................... <br /> Conttactor..,l.�...........--�-�-..�.....X...................................................................... <br /> / <br /> ( �9v:'t,.?—t�,li.�:.7.!,�.................................................... <br /> Remarks........:............... .. .... . <br /> ..................................... . ........................................................................... <br /> ... ............................. ........... <br /> . <br /> ................................................... . .. <br /> Amt......................................... Rec.No.....�....L. ..............._. ..........................._.... <br /> . . l� <br /> - -�!............................. <br /> By................:........_..�................. <br /> / Superintendent <br /> .."'-'.........................................................................................................'-... <br /> .................................................................................................................. <br /> ................................................................................................................. <br /> ................................................................................................................ <br /> ................................................................................................................. <br /> ............................................................................................................... <br /> ShopRemarks....�:�./1!1J!.i.X..................................................................................... <br /> .�r...::_..,_....rAc Tc:�Y...�....�_�lt..�.�.y........................................................ <br /> ' ycc'SL. '.'.:...........�...7..>.�::..........................-�---..........................--•-•-- <br /> .................................... <br /> ..................................................................................................... <br /> ................................................................................................. .. <br /> ................................................................................................. <br /> ..................................................................................._................ <br /> .......... <br /> �Vork Completed................................................................................Fore n <br />