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W. D. FORN ] , ���� � <br />Acct. Ivo..�:�._- � .� L: .`.1........ <br />CITY OF EVERETI`— Water Dept. <br />Application No.../....�%.��.L...�..... Date...........—'?..:.:.1...:..�;.:� ................19... .. <br />Install ................................ inch water service pipe <br />Owner--- ................--...----..... --.............................. ---- ........... ...._......................... <br />na,:�o�� �: � i/ ti�_ .z/ La_��tC: t'U-t.. <br />BlockNo._ ..........................-�- -......... <br />Addition....................................................................................................•--........ ....... <br />Contractor..-�-----� ......................................................................................................... <br />Amt......................................... Rec. No.............--...._......_...---�---�---........................ <br />��� , <br />By.........................._--.....................l..i...?'... `�'_':::.at.. <br />'Superintendent � <br />�.!/!.� <br />Shop <br />14�ar: Completed ...................................................................................................... <br />Forcman <br />