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;a. AV6 A <br />net. No ..... <br />CITY OF EVERETT—Water Dept. <br />Apnlicalion No.. .L...._... Date_......................19.1f.. <br />Install ........... 4/9........... inch water service pipe <br />Owner.............................................. <br />Address........ 5?K._ r� ...... 1.' acr.....................».._..........__...._... <br />Lot............ ....... _......................................... Block No .................... _.............. _.......... <br />Addition................... _...................................... _.......................................................... <br />Contractor <br />Amt.................... _................... Rec. <br />........................ <br />Superintendent <br />....................................... ..... ......... ...f .... ..... j�. .. ..I...... ................. <br />.......... _..... <br />Shop Remarks....... .. ............... ....... ........ .. <br />................... _...... _................................. X..,Z................... .......... .............. _.. <br />_1 1 <br />r oreman <br />n <br />