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10.53(o Acet. No... ............................. <br /> CITY OF EVERETT—Wat Dept. <br /> Application Nol.y.-5-3...//b Date.......�27 16�..................19........ <br /> .......... <br /> Install............................... inch water service pipe <br /> Owner.................................................. .............................................. <br /> Address....... <br /> ­ ­*.. ........... 7 .... <br /> .. ................................ <br /> Lot..............................................................Block No...................._........_....._......_.. <br /> Addition...................................................................................................................... <br /> Contractor.....................R' ........... . ...I...... A-L.............. <br /> Re arks....... .......4.....................0.. <br /> ....... ..f P......qt..... ........ . <br /> --- --- - - -.........O.... ._. ... .................................. ................................. <br /> Amt...../...x.!. .. ._................. Rec.No.............................................................. <br /> By..._..............._....._......_..............iup.erint.e.n.d.....n.t <br /> {o1• /Yal/t .......................... <br /> ..................................... <br /> ........................................................................................................................ <br /> ........................................................................................................................ <br /> ............................................................................................................................ <br /> .......................................................................................................................... <br /> ............................................................................................... <br /> .............................................................................................................................. <br /> .............................................................................................................................. <br /> ShopRemarks................................................................................ <br /> ..................................................................................................................... <br /> .........................................................................I............................. <br /> .......................................................................................................... <br /> ..................................................................................... ..................... <br /> ..........................................I.......................................................... <br /> ....................................................................................................................... <br /> ............................................................................................................................ <br /> ........I................................................................................................................... <br /> Work Completed... ................... <br /> Foreman <br />