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�,o� � � : <br /> ; - - - n��c. ro................................ <br /> CITY OF EVERETT—Water Dept. <br /> � ' . � � . <br /> Application No�.`'�.�..... Date.....7r: .-::'��i .� .�j <br /> �� .........._...........�9.(F <br /> Install..........._ . in•h water serv'ce pipv J <br /> ........ <br /> '��. �,c-c �c �tt_1"'. ' i��`� f �/ <br /> Owner............... .. .....,:.:.......:............. . � ..................... <br /> _f � ..... ......... <br /> . � .�::.:I �, �, <br /> Address........�..:_�1 ..l � zrj. l <br /> � . . .......��......:._1GL�� ' _.. "—'��'!.. ....r.:..._. <br /> Lot.............................................................. Block Ivo............................................... <br /> Addition............. ..................................................................... ................................. <br /> Contractor.....y:,......_........ ....... .. . . ...... ...,.............----- • <br /> ..... <br /> ........... <br /> � , . / ' <br /> ........... <br /> Remark9�..1��<..£:1. ?�.`.�:z�:..�/...... ��::..:�.tcu. '-�..-'�—,. <br /> . . _ ..... / _:.: .............. <br /> ............................................. ..... ............. ................................................................ <br /> Amt......................_..._............ Rec.No..........� ..........�....................................... <br /> �. . <br /> �... ............................... <br /> BY. ....... ..._� ���.:..::��a............ .... <br /> �Svperinlendent <br /> ..................................................................................... ................................................ <br /> ........................................................................................ .............................................. <br /> ...................................................................................................................................... <br /> ....................................................................................................................................... <br /> ..................'-'.................................................................................................................. <br /> .....................................................................................'-..................-'--'-"-'................... <br /> ....................................................................................................................................... <br /> ...................................................................................................................................... <br /> ShopRemarks......................................................................................................_.. <br /> ..............................................................................................................._...................... <br /> ............................. ............................................................................._...................... <br /> .........................................................................................................................�--........... <br /> ......................................................................................................_--�--......................... <br /> ........................................................................................................�--.......................... <br /> ............................................. ......................................................._.............................. <br /> ................................... ............................................................................................... <br /> ....................... ..... . ...................................................................................�....... <br /> �9ork Completed........................._......................... ...............--............--.-.... ........ <br /> Foreman <br />