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i �3 � �; 1 . , �� <br /> w � .���, n«c. n��. '''. _ ='.�.'C.i <br /> CITY OF EVERETT—Water Dept. <br /> , , , <br /> Applicat� : No..._!,1 ' / . Dnte_. . � . _' ....19.�.1. <br /> Inslall...................__..._.... inch watcr service pipr <br /> C!wner__... ..-, . .. . _ _. ..... .._. ...._..._.. <br /> . ... . ._. . ._...� . . <br /> � �/ _.f� �� ... <br /> Address.... .j i� ,�. y �7 l l�'. ,. ...__. .._..._........ .. .. <br /> Lot _ _. . .._ _ ...._......__..':.........._. __ Block No. .._..........._.....................__ <br /> Addition..............................................__. ..._ ___........_........................................... <br /> Coutraclor.......................................__.......__ .........................._...._..................... <br /> It c m a r ks......... .......... ........................................................................................... <br /> ...._�'.rc..:�:........... .... ........................................................................ <br /> _ _ _... ......................_..... _. .........._.........................................................._.. ... <br /> Aml.. .__................_ ...._........ Rec.No................................................................ _ <br /> ........................................................ <br /> y............................... SuPerintendent <br /> .... ................................................................................................................................. <br /> ..__..._............................................................__.................................................. ......... <br /> ..................................................................................................................................... <br /> ..'............................_.........._.......-....................................�........................................� 1 <br /> ShnpRemarks....................................................................................._.................. <br /> _. . . ..................................__................................................................_......_.............. <br /> _........ ........................................................... ......_......_.......... . ....... <br /> _ ..._................................................................................. .......................................... <br /> ........................................................................_... ....................._.._.................. <br /> ............................................................................................._.............................. <br /> ........................................................................._.........._......_.............._.............. <br /> ............................................................................................_......_..................... <br /> _._.. __ ._ .........._ _...._............................................. ................................................ <br /> Work Com�. .��d .. __.._ __ ...____ <br /> __ <br /> Porcmon <br /> � <br /> I <br />