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Acet. No.....Z::.! .h..... ..... <br />CITY OF EVERETT=�W').ater Dept. <br />Application No..%. � 1�......... Date.......f.. -� `fir. ..19........ <br />Install ............................... inch water service pipe <br />Owner............... -...... _....... ...... _............ I ... _..................... .................................. <br />Lot.................... .......... _............... ..._..... Block No ............ ....... _............. -.-------- <br />Addition................................................................-.._..._----.------------._....-------.- <br />Contractor <br />Remarks........... . .. . ........................ . .......... . ....................... .......... - ...... - ...... ... _ <br />Amt...._.._._........................ Rec. <br />By ........................... ............... ... _.... <br />...._........_ <br />Superintendence <br />.e.o� <br />ShopRemarks.......- .......................... ...... ......................................................... <br />WorkCompleted ............................. :................................. _................ .......... <br />