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� FO�/� ` ' \✓ <br />ACCL. NO ................................. <br />CITY OF EVERETT—Water Dept. <br />Application No ............................. Date........�.."...�� � <br />, ...... :E............19........ <br />. <br />Install.........�5.� .......... ... inch water service pipe <br />Owner....�coi!e �t ,/ U <br />.... ...._.. . . <br />, <br />� .f7.:....r ............................................................................ <br />' Address... _.11.. �.%p.�_.!r/P�?i N�' <br />.. ............� ..... ..... . . . <br />. . . ..... ................ �-• •---.......................... <br />Lot........................_.....--..... ............. .--... Block No......--- <br />-- --....._ ........................................••---... <br />, . ..................... <br />' Contractor..... T,trl.... .t�e.au.,e1. ./........... <br />� ....................................._....---............... <br />� <br />t1mt............_......_ ................ .. Rec. <br />By..........................._.................---....................................... <br />3uperintendent <br />i. <br />Work Completed........_-�------ ................._ \ <br />. ..../.................................. Foreman ...... <br />�� �OIL 1 <br />