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��. <br /> �:.o. �o;:;, � � � � Q � Acct. Na-.--',��.i'./...�.5��� <br /> . . 0 . <br /> CITY OP EVERETT—Watcr �ept. <br /> y , ., - <br /> Application No.../..:5:..7'..f..,l Date..........------..:j. -./......_......_...19Lr:S/ <br /> Install............._.._............. ir.ch water service l;ipe <br /> Owner........---............................_................_.....--................... ...................... ..._ . <br /> „ , <br /> Address......._v�..i l.�'....-.._�.%.`-�........ ---_. .............._...............---.. <br /> Lot............... ...... ...-_...........................Block tVo...._.................... -� ........ -- <br /> P_dditic,n.......-� -•-.....--_........................_..................-�- ............................__.............. <br /> Contractor..........................................................................................•----................... <br /> Remarks........f_(�i�........................_-•-- .....--...._- -................_............ <br /> .....................................................--- ............_......._..........._-�--�•-�------.................... <br /> ................................. �--................------..................................._..........................- .... <br /> Amt......................................... Rec. No. ��--�-......_.........._...................................._.... 1 <br /> � <br /> By-- ......_...................._-----�---�-----........................_ � <br /> Superintendent <br /> .................'................................................'-'--...........---"-............................................... <br /> ................".........-"--.........................._.................................................................'-'......-' <br /> •"-..._"""-'--'-"-'-_'-"_......-"-"'........................................................................................ <br /> ....._""_-......'-'_..'--........-......................................................................................._..... <br /> ................._............._'---`-.............._.........._.............--'-'_........................-'-'.-"--............ <br /> ....................................................................................................................................... <br /> ....-"'--'...................................................................'..........................................-"--........ <br /> ....................... ....................................................."-.................................................... <br /> Sl�op Remarks.................... -- .........---....----�---.... ..------.............-�-----........... <br /> .......................................................................-..............................------•-••----.......-- <br /> ..... ......... ... ......�--��---............... ................. .................---.......... ........ ............... <br /> i. , ......-- ......................................................-- ................................................................ <br /> .........._...................................................................._..............._.... ........._.................... <br /> I, Work Completed.... ........................... ..._..........._..................................... - ........ <br /> Foreman <br />