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85�2 - - <br />w. o. ronr a <br />ACCL. NO ................................. <br />CITY OF EVERETT—Wate Depf. <br />� <br />Applicatio� o.�:�...�_� Date...........�....Z..�............19_�../ <br />Install......�Y .............. inch water service pipe <br />Owner.............................................r.. f..................�......,-.............................................. <br />Address......._z.� �--_�".......v..l... ...t�.. .. �u�..�........._ .............._......_... <br />Lot..................._..._........ ........................... Block No................................................ <br />Additio�L .................._...-----....................................................................------ ----- <br />.............�•---.. .. . . ..................................................................................... <br />......_......... <br />Aatt...... ........ ._....:............. Rec. No...._......_...................._._......_...................--�- <br />By..........................._......................_......_......_................... <br />Superintendent <br />Work <br />