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v 9 q <br />ACcI. Nn..1 �.6•. `�............_... <br />CITY OF EVERETT=Water Dept. <br />Application No...�.0..0�./..!�....... Date L..��tlr.....i..:.(1..........._...19........ <br />Install ................... _........... in:h water service pipe <br />Owner. <br />Addition.................... ....... ............ <br />Contractor <br />Amt... ............. ....................... Rec. No....----..._......_.._.._----------- ..------_------._....-- <br />sy.......-................_.._......_.._.._. _:r1.:...................... <br />superint ndent107— <br />Shop Remarks .................................. <br />Work Completed ..................................... <br />Foreman <br />