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W. C, FORM a 18a 2 r'"- <br />CITY OF EVERF.TT—Water Dept. <br />Application No.. .k? .Afg ..... Date ................ <br />Install ............................ inch water serv.ce pipe <br />Owner....... _................... .................. ................................. .... _ .. . ._... <br />Address...... 7� a ........ '...%.�..—.....,�A:_............................. __...._.._.._ <br />Lot... _.............._....................................... Block No ...................................... <br />Addition..._ .............. _._... .............................................................. ...... ....... _......... <br />Amt._....._..___.._.._.._. _....... Rec. No...............__._......__......_. <br />By. ............ I..`. �.. ..g.-!7'gWrin-t'-e-n-dent....... <br />ShopRemarks ........................................... _._....._.. <br />Work <br />Foreman <br />