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17a Zr Acct. No.... <br />CITY OF EVERETT—Water Dept. <br />Application No ... /14.2 ...... Date ............ ......... .... 19 ........ <br />Install ................................ inch water service pipe <br />Owner............... .......................................................................... <br />Lot...... <br />Amt......................................... Rec. No .... ........ .......... ... . ...... . ...... ........................ <br />By .......... . ........... .. ................ )0 <br />... ...... ... .. <br />Superintendertf <br />—1.&4T <br />ShopRemarks......._......_ .............. . .. . .............. ............ ..... <br />WorkCompleted ....................................... . ............................................................ <br />Foreman Ij <br />