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65 <br />W. o..e4M t 17 73 <br />CITY OF EVERETT—Water Dept. <br />Application No... / 7i r/3......... Date........r ./_.: &.. ................... 19....... <br />Install ................ .._.......... inch water service pipe <br />Owner................ ...... .... ..................................................... ........ .............. .... .... ...... <br />Address...... _...,VjQ 1..... . .........._.............._.............._......_... <br />Lot............... .......... ... _........... .......... _..... Block No .... .............. ................ ......... <br />Addition... ........... _..... _... ...... _...... ....................... _.._.._.. ........................ ......... - <br />Contractor .................... ........................................... ............. <br />_ ..._.._.._.._.. <br />Amt...._.._..___.._.........._..__.. Rec. No .......................... . _ .._.... _ .._. <br />ShopRemarks ............................................................................. __._._.._.. <br />WorkCompleted ...... ......... _...... _...................... _..................................................... <br />Foreman <br />r <br />