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wt�o� y <br />Aces. ,o.._.................... <br />CITY OF EVERETT—Water Dept. <br />Application o%: ? -, 1// . <br />Date...............19.... <br />Install ... .......�:.................. inch water service pipe <br />Block <br />►.a <br />Amt........ .... ......................... Rec. No.................... <br />By........................... _.............. _... <br />........................................ <br />Superintendent <br />Shop Remarks .................. <br />........................... _.............. ................. ._...... ........ <br />r_............... . — ............................. <br />Work Completed.z'?...:_. .......j ' J <br />ra:emen <br />