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/G9/3W. O. FORM l <br />CITY OF EVERETT—Water Dept. <br />Application No....%..q.l... ....... Date ..............:. '...... .7 ....... 19........ <br />Install ................................ inch water service pipe <br />Lot.............................................................. Block'No.................... .......... ._............ <br />Addition. ............................................................................................................... ....... <br />........................ ..... ............-.... <br />Amt........ _........... ................... Rec. No...._.................._.._......_......_...................... <br />��J.\ <br />BY ........................... _.............. _.-_!L.. L:.:....:: <br />Superintendence <br />/// <br />Shop <br />WorkCompleted ....................................... .........................................Foreman...... <br />