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w. o. roaH a /`�G� / A� <br />� Acct. No..X.--.�-%....-----..... <br />CITY OF EVERETT—Water Dept. <br />Appiication No..1�0..��,J�......--- Date.........�:`_�.-,�� :................19.....--- <br />Install ...........................•--- inch water service pipe <br />Address......_�' <br />Lot..................._............-�---�-� �---................ <br />Addition........••---• .............••--------....................----........---..........-------------.................. <br />Contractor..._..........---•--•--- .............._---.......---.........----•--�•---------....._.........----------- <br />Amt...--•--• ............................... Rec. No.---_....---......._......_...----...-�----...................-- <br />� <br />.............._...---•----.....•� �:••:. ....----------- <br />By Supenntendent� <br />�� <br />Shop <br />WorkCompleted ...................................................................................�--�---............ <br />Foreman <br />