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Acct. No ................................. <br />CITY OF EVERETT—Water D,//apt. <br />Applications o .... c... 3. .. /. Date....... /././/..... .............19... <br />Install........:/ .................... inch water service pipe <br />Owner.... .. <br />Address......(............................ .......... <br />Lot.............. ............................ Block No............_.._.._.._.............._.._.. <br />Addition..._ ................................................ _ _ _ ..._................................................ <br />Contractor... ...... ..... .. .. r...... ....... <br />............... ..... ..`,�.... .... .._....................................... _... .................. ........................... <br />.....................I I.!z._!..G'............... .......... _................................................ <br />Amt......................... ......... Rec. No ....................... ___.._............................. <br />By... .... ....... ................. _........ __....... ._........................... <br />Superintendent <br />..._.............................._.........._.._.........._.........................................._.....................__. <br />ShopRemarks ........... _......................... _...... .... ............ ._... .............................. <br />..............._.........._.................................._.............................._......_......_...................... <br />....................................... _.......... ............ .................. <br />Work Completed...�� ..%.. .....�... .............. �� e <br />roreman <br />