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Acct. No ................................. <br />CITY OF EVERETT—Water Dept. <br />Application NGZ94�� Datr .�i� C�, .......... <br />Install ......... ........ inch water service pipe <br />Owner......_ -!`.....�fr?11 <br />........... I ............... <br />Lot_ ...................... . . . ..... .......................... Block No.... <br />Audition....................................................... ................... <br />Contractor. <br />Remarks..... r <br />......... ...... ...................................... ............. <br />Amt........ ... ............................ Rec. <br />-0 <br />Shop <br />WorkCompleted .................................................................. ................................... <br />Foreman <br />