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-.8-574 Aect. NO...... <br />CITY OF EVERETIr—Water Dept. <br />Application No.f.. .71..... Dare.... ...... .............. .... 19Z- <br />inch wate: service pipe <br />Owner. ... ... .................................................................................................. <br />Address..........? Y ............ /*,.,C . *I, . <br />................ ..................... ........................ ................... <br />Block No.. <br />Addition. ...................................................................................................................... <br />Contractor........... . .................................................................... <br />Remarks ............. ............ ....... <br />Amt.................... . ................... Rec. <br />By............................................... . .......... . ...... . ................... <br />Superintendent <br />Shop <br />WorkCompleted ............................... .................... ........................... i;�-M—a'n / <br />