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Acct. No..._.... <br />CITY OF EVERETT-- Watcr Dcpt. <br />Application No..f_� ...... Date..I�� ...../ y ..19........ <br />Install ......................... ... inch water service pipe <br />Lot........... _....... ..... <br />Block <br />Addition..._.............._.._._......_....._.._........................................._......_......_.._.._.. <br />Contractor........................ .......... ..................... _............. ...... ...... <br />_....._.. _.. <br />....... _...... pex�.._.._......_.........._....................... ... .......... ................ <br />Amt....... _.. _.._._....... Rec. <br />By....... .................. ........... —._. ...._�en7. <br />Bup <br />ShopRemarks ........... _........................... .......... ........... _... .. .... .......... _............. ... <br />Work Completed. <br />............................ . <br />Foreman <br />