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77SS 6 <br />CITY OF EVERETT—Water Dept. <br />Application No..1 j.q.,56.......... Date ......... 3.-.1.....� 4..........__.19........ <br />Install..._ ............. _.._... inch water service pipe <br />Address............ .I."J.1D... ._�4............................. .._....... .............. _...... .... <br />Lot.... ........... .......... ........... _.._. ................ Block No .......................................... <br />Addition..._................._.._......_......_................................._.............._....__._......_. <br />Contractor..._.............._..»._......_......_..........».........._.._..».._......_.._......_.._.._.._.. <br />Amt.... _.......... _............. _....... Rec. No...._.____......_._.._/_..._......_._.._ ............... <br />By....... ................... _......_._. n:.:._. _ .........._.... <br />Superinlendent <br />day' <br />ShopRemarks ................................................................. _.._.._...... <br />