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i7OU0, <br />• CITY OF EVERETT—Water Dept. <br />Application No.1.3.1. %........... Date ......... r-...(..-.�..!f .............. .... 19..._... <br />Install..._.._.._.._.._.... _... inch water service pipe <br />Owner .......................................... .................................... ........................ <br />...... <br />Address........ &.2..9... =..... L.9_�.......................... .........._......_......_......_... <br />Lot.. ........... ... ... ....... ....................... .... Block No ......................................... <br />Addition... _............................................................. _.._._.__....._._.._.._......_.. <br />Contractor..._.._.._......._._.._.._.._.............._.._.._.._.._.........._.._.._._......_.............. <br />Amt...._.._.._.._................... Rec. No ......................................... <br />__._.._...__ <br />By.._.._......_......_.._._.._.._.....:3( .A1..: <br />Superintendent <br />J" <br />Shop Remarks ....... ..................................... <br />........._......_.._.._.._.._......_......_.. <br />Worh <br />