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W. Y. iONM� ���� � . � - <br />�r ACCt. NO ......................_.._.... <br />CITY OF EVERETI'—Wat r Dept. <br />-y L / " <br />Applicatio jN ..�1....:�`...�.`.. Date........�...._z..� .................19..7...z- <br />Install....... J��............ inch water service pipe <br />Owner......_ ..... ..........................- ..,,._.. ..................... ........................................... <br />c� �� f <br />Address..........'.....�.........�...........�::...... �..c.�.7...1..4- ...................................... <br />Lol.............................................................. Block o............. - - -- <br />Addition .................................... .......... <br />Contractor....._...._...__ . <br />................. <br />, C , <br />......... ......... ........ ................................................................ <br />Amt.... .. ...,...� ...:.............. Rec. No............................. <br />Shap <br />By........................................................................................ <br />Superintendent <br />.±.f �iP- / r <br />N2 .....'"'...! �.7.,`,Y .. :.................... <br />..................""............. <br />1Vork Completed.....?l...�'..�E.�.7..'Z_........f C �......f....l..'�-�. _c i^ <br />Foreman <br />