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054 7 <br />w � .o„M . <br />Acct. No ................ <br />CITY OF EVERETT — Water Dept. <br />Application No... :.:............. ... Dnte.....!-..1 ............. _ __ . .....19.. °... <br />Install... 12..... ...... _........... inch water service pipe <br />Owner......................................................................_.........._............................._..... <br />Address ........ 6'=0.. �................... I............... <br />Lot................... _......................................... Block No ............. .............................. <br />Contractor... »...... ...................... _.................._......_.............._.. ._.._......»..»....__.. <br />r-e D J'; rain . C ss•Te <br />Remarka.......1._......_............'.P..............(....._........i.l....._.j ......._................._. <br />................... s..l!,._......_.'.�.._3.._.:.............. _................. .... _......... <br />Amt.... ... ........... ............... _... Rec. <br />By.................................................._................. ................ » <br />Superintendent <br />See W.0. / 332 ; <br />ShopRemarks ................ ....... .............. _...... ... _.......... ....... ...... ......................... <br />,. <br />...... _....... ...._. .... »............/__......_.... ........... '----- <br />Work Completed ............... ........ ........... <br />. <br />.......... f.»........._.._...... J <br />............1 <br />�Y'oreman <br />