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i <br />CITY OF EVERETT—Water Dept. <br />Application No... .(,,.J..12.._. Date ........... . r.._ .-.. .�4�................ 19... _... 1. <br />Install..._ .......................... inch water service pipe <br />Owner............... ............................................................ .-..........................---...----....... <br />Address....... .................... ....... ............. .... b <br />Lot.................... ..... ...... ............................. Block No .... ............... ... ........... ....... ... <br />Addition...... ........... ... ..................................................... .___......_.........---.........__ , .•v; <br />............................. _............. ._............... ................. ............. <br />............. .................... -_......-.--•--...................-................... <br />Rec. No............. ......... _.......... ... <br />........................ <br />B......... ..... . lS.,.!re:.:_�,'`7L..-... _ <br />Supeis:ende <br />.----......................_....._................._ ...............-----... <br />..... ........ ...... ...... _.............. ....... -.......... ................ ....... _. k <br />..... ................ ...... ............................. .............. - ......... _. <br />Shop Remarks........ ...................... <br />Work <br />.i�''n ..... <br />Foreman... <br />