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Acct. No....�....... <br />- . -. CITY OF EVERETT—Water Dept. <br />Application No ... �%..�i2.�o..�..... Date .......:........... .... - ...19..._... <br />Install .............. ._... ........... inch water service pipe <br />Owner ........... ... ........ - - <br />Lot................................. _........ _............. Block No .................................. <br />Addition......... ........... .... ................................................................. ........_ .. <br />Contractor ... _..... <br />_......- - - - - --- - - <br />Amt---- _.- . ........................ Rec. <br />By................... .... .._._._».... n .. __ ............ <br />Superint(M ent <br />j� <br />ShopRemarks ....... _..»......_.._..».._.._..»-.___.._.._.._..... _.. ._.._.._.._.....__....».. <br />WorkCompleted........................................ ...... ..................................................... <br />Foreman <br />