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•W. �M � �O ` l ............... <br />Acct. No .................. <br />CITY OF EVERETT—Water Dept. <br />� � <br />/� �%�� � / <br />p,pplicatiou No .......:.............._..... Date....._=:'..'.........7..........................19::..�. <br />Install ...............................: inch water sexvice pipe <br />���: . �:. �� - ........................................................ <br />Owner ........................... . m 1���.�.�>...`.3:%.... . <br />� i— . .. C ....__ ........................................... <br />Address..�..._}...!�......_,/..'�:. _' .CL _I:..:..... _........ <br />Lot.............................................................. Block No................................................ <br />Addition ......................... <br />.................................. ............................................... . <br />Contractor ..................................................... <br />.............. <br />.......................... .-----........ <br />.............................................. <br />.................. <br />........................... <br />Remarks ......................... <br />- -............ <br />Rec. <br />...... <br />By .......................................................superintendent <br />� <br />.. . . . .......................................................................... <br />........ <br />..... <br />.....::«� .��..... <br />Work Completed ................................ ......... <br />""' ' Foreman <br />