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7 �¢-f17 <br />W. �. FOflM 3 // 9 � / 1 '� : <br />� . <br />� <br />ACC�. IVO...L='.._. _"".'_"_'... <br />' � CITY OF EVERETT--Water Dept. <br />c� //. �/�- �_/ <br />Application No.�..7....��G_....... Date...!(C{:.:� .i......4: �1 ...................1!1........ <br />Install ..................._........... inch wa?ar service pipe <br />Owner..........----..(�/........_^•- .....�..�. .......:...1...........-�r ... �_.. <br />Address....... �.�'�..:: �- �.........6-z"i__G� �.:��:.��:�%.�-�.....� ..:...................-------- <br />Lot.....................................................%...... Blocl: No......................---....................... <br />....... Rec. No ...........................................��................. <br />....................._. �y � �L,�._ <br />By....- ......................:'1.:...................-�-- -... <br />Superi�denf� <br />Shop RemarYs ......................... <br />`.\'ork Comp;eted.... <br />................................................................................... .. <br />................................................................... ........... <br />. .. <br />Foreman <br />