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CITY OF EVERETT—Water Dept. <br />Application No...1.77..�.,�......... Date......... !f.............. 19........ <br />Install .............. _.............. inch water service pipe <br />owner........... ... _....... ....................... Qo ..._........-------------- <br />....................._..................».._»_..»....._.._.._... <br />Address ........ l.la.11..... _. _ <br />................... Block No...._..»..».._..__ ------...._.._.._.- <br />Contractor..........._.»..._.._.._. -------.». <br />Amt..... .._........................... Rec. No .... _..................... ..1...._......_......_.....__...... <br />By .......................... ............ <br />Superintendent <br />l�'��e C _�fct.F <br />ShopRemarks .............................. ....... .... ..... _.... ....._..__..__._. <br />Work Completed.- ........... <br />