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230 Acct. No....�1i... <br />CITY OF EVERETT—Water Dept. <br />Application No.....,_3... Date ........................ ..... ;L2....... 19_�W <br />Install ........ ,/..., ......... ,e inch water service pipe <br />Block No ........................................... =.. <br />....`7z�....y............................'---'----�........ <br />........ Rec. No..Z.Y...9. ............... ............................... <br />Superintendent <br />ShopRemarks ........... ......................................... .......... ........... _........... ....... ....... .. <br />....................................................... ...... ................................................................. <br />........... ...... (0............. 4................ :.l.L:................. _.......................................... <br />Work Completed ......:.:...: .:�_1:..; !:!.::....... .......... <br />Foreman <br />