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�o� s � . . . <br /> YI.D. FOPM � Acct. No......:.......................... <br /> ClTY OF EVERETT—W�ter Dept. <br /> ��^ <br /> '7 ..is.��.. <br /> C'0.�,�. Date. �r r c •...�'::/j�.......... <br /> ppplication N .... ............... ... <br /> ...... ... ... <br /> Install.....................,1�,{`��ch wate`�' service pip` <br /> � ` 1���. ,__�� .. <br /> 1 ' ..............L... ... .`......r... .__.......y �....... ... .......... <br /> , � � Ji� �- , <br /> . . <br /> . <br /> wner.............................. <br /> Lot....'......... ./..........�.. ...... .��-�',c�L t�.................._..... . ......... <br /> Address....... .......... .. ...�� <br /> / <br /> .. . . <br /> � •i � ;�^.'.::.:.t...B ck Nu..'.........................:................ <br /> . ` `�.� . .. <br /> �� �c� �..... . .. . <br /> �......... <br /> .....:. . ................................... .. <br /> Addit�on...I.�/5... . � „r <br /> ' r� ) <br /> Cor.tractor........ .. j `'�.�'�, u�,R '— � <br /> ...... ....... ..................._...... <br /> .... . <br /> �-•- � �r�' 1� <br /> r+-Lt, ..................................................................... <br /> �......................... <br /> Remarks..................... <br /> ........................................................................... <br /> ....................................................._^................_.._��.��........................... <br /> .................. ............................ <br /> Amt......................................... Re..No............ � <br /> C?� � <br /> ....... ....... <br /> ....: .................. <br /> ���������� ��� Superintendent <br /> By............................... � <br /> ................. <br /> ShopRemarks.........................................................................................................�- <br /> ................................................................... <br /> ..................._Fo re man...... <br /> �Vork Cotnpleteci.......................................................... . <br />