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N'. 4. FOPM ] /�/ �� � � L-r! � � <br />Acct. No.....:.�...:��............ <br />• CITY OF EVERETT•—Water Dept. <br />�� <br />`-,, � <br />Application No...l.���1...%.L....... Date...�'[..::5:�.'.....�..::..0 ...............19---..... <br />Install ................................ inch water service pipc <br />Qwner........---- <br />.9 ddress............ <br />Contractor...._.. <br />BlocicNo .............................�---............... <br />...-- Rec. No............_ ..........................:....i:...........-----...... <br />' �� �i> -(� <br />.I� ��/ <br />By ..................................---........----��---..:.:--- .. .:............ <br />Sup^rintendent 1 <br />,:�� <br />SliopRemarks ........................................................................................................... <br />............................ .......................................................... ........................ \................. <br />�Vork Comnleted ................_..................................................................... .._ ...... <br />Forc n <br />