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I w.�onu U � � <br />t�iCC:. �C.__...._._ ................... <br />. CITY AF EVERE"I'T— �'Vater Dept. <br />� , U <br />, �� � ,,__. _..:',.... ......19�/.`. <br />Applicatimi No.:!_ % .._.: . Date... <br />Install........__......,........... ynch watet service -pipe <br />�I' � �'` �� <br />,� �z.; {.� r� 1��.. � �-� ..... .................. <br />...;�;.....,: � .........,, .. ........ <br />..... <br />tvner.........._.........._..� .:........... �� <br />� � r <br />/�-,�n � _ `i��; ;�!_,�ri _� <br />Address..... ...� .. ......... � -........._ ................. ::............. ...:........... .... ..................... <br />Lot............- -........... _......_ ....................._ Block No......... <br />Ar3dition..................... .................. .......................... .......... <br />Contractor...., :. ..........._.......... ... _........ ...✓....... _...... <br />.-.}.. ..` ....................................._. <br />/ [ ��r-:. � �LL-;�rt:; Lc�. _.,.,�• , / - : _C�:� <br />Remarks....._ :.................� ................................_..........._.........................._...... <br />.................. - - <br />..... Rec. No ....................G:.:::,::._......, .......................... <br />��. � T ,% `. _ <br />......._. l ................. <br />........... ......—.. <br />By ..................................- .. <br />.�uperanteEu1eaE <br />........___...........-'--------.. _. <br />S},op Remarks .......................................................... <br />........ ............................................................. <br />Work Completed....._....._... .................................... <br />................................... Foreman <br />