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W.tT.i�M'JI / � <br />I O ACCC. I�O ................................. <br />CIT7 OF EVERETT—Water Dept. <br />Applicatio�n /NoL%.� � ri........ Date..._ ............ ..._�.—... �/..........19�`.{ <br />Install....��...5.`�,.`'�.'inch water ser��ice pipe <br />Owner ........................................................................./ . .............. <br />A ddress.......��. C:.r�......_���: i::?.! c�:_lJ. <<:. .Y[� ..._...... <br />i .,e I '� ___ - �- - -....... Block No .............. <br />Addit�on .............................................................................. <br />Contractor ...................................................... <br />Remarks.......................................................... <br />Rec. No........ <br />By........................................................................ ....... <br />Supetinten lent <br />.. . . .......................................... " ........../........�.................... . . .. .. . . <br />. . . /. '/... ... . ............... .��..... <br />Shop Remarks ...................1.,..'�..��!X....,c`..............(.:(tii..1.....cC...._1"�.'.�:. <br />..._�C_1.....�r...r�...A...........�(:_f7...Ii._f..u�.t ......................._ ...---............. <br />...................................................... � .......................................................................... <br />.. . .................................... .............................................. .........................................../ <br />i <br />�Nork Completed .......................... ��:r�f ""/��........................_...... � <br />� � Foreman � <br />