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/BZGi <br />� <br />w. o. �onr+ a � <br />Acct. No.... (...�..:f .. ............. <br />' ' CITY OF EY�RETT—Water Dept. <br />Application No...L.:,:.��...!t...7.... Date..../..IIC�_ti:..._�..c.�:. �.�..._.........19........ <br />Install_ .............................. inch water ser��ice pipe <br />Owner............(../............. � .................................._..................... <br />.. Lj...... _... . � ................... <br />Address......._3...C� / --- �`....._�..._�R::(� S./ ........................................... <br />T.�i _----- .� . Block No.._ ...................................._...... <br />Contractor......-� . ........................................................................................................ <br />Remarlcs......_......... � .................................................................................................. <br />...................'J �L.��:�'::............................................................................................ <br />Rec. No ...................._...._._......_._�...- - ................... <br />� . <br />.. �': ;i._F.'- <br />................................................_.. . . . . .- � <br />�uperinlendent <br />(;j'� <br />...................... ............................................................... �- - ................ ............ <br />A�ork C�,mpleled ..................................................................._......_�ormnan...... <br />