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/,� ��� . , � <br />, . .:, <br />W. O. FORM 'J <br />Acct. No.....;� :.......:..... <br />' CITY OF EVERETT=Watcr Dept. <br />Application No../..�1 ��.��_...... Date.L...�%.�°.:C:._.1-....�'..'f.......__...19........ <br />Install ................................ inch water service pipc <br />O�vner ...................,... _ ..........-- - . ...T� __..... ..._... ... <br />— ....................... .................... <br />� h U :�....-...1..�'...—........L� ��i..:.........__ ................................ <br />A d dres s... � ............. <br />Lot......_.. --............ <br />................................... Block No........._.... ......_.........---�--�-- <br />�iddi `ion ......... ........................................................................................................... <br />Cont.actor ................................................................... ---..._.........._.... <br />................ <br />Remarlcs ........................................................_....- -._..._..................._......... <br />.............. <br />.......- - - 1'.L.l.��-J . ................. <br />................................................ ........................ <br />..... .................. ............... ....... <br />..............-'--------- <br />Shop Remarks <br />Rec. No .............. -- -�------......................_..........- -- <br />....._ ..................._...........__�1��..... �-:� 4.:} � <br />Super�i/Lr�t�enden� <br />l%/ <br />--...._ . . -.'--......_ ....................... <br />� <br />....................... ....................... <br />...................._..._.................... -- - ......... _- ...._- - <br />............... ..........� ......._................................. <br />... _ ................ ................ <br />................................................ . .................................................... <br />� -- ................... . .....� <br />........_ ......................................._ -.....--........................._........._............ --......_..........� <br />i <br />_._ _ ... <br />F�'m�k Completed........._..._..__........_._..._.___....._..._..._. .._._.....-I'oreman <br />