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W. / / d jw Acct. No..L�...... 4JI-q..... .... <br />CITY OF EVERETT—Water Dept. <br />Application No ..... �.`.%.!�••��..... Date ............... ....... <br />instalL .......................... inch water service pipe <br />Owner ....... <br />_......................... _................._.._................. ....... _.............. ....... ....... <br />. nd <br />.................Block No ....................................... .. <br />Addition................... ...... ...... .......... ....... <br />Contractor <br />Amt....__ _.__...._......_... Rec. No .............. .............. __....._..........._..__.... <br />Ay....._......_..._. Buggerintenden <br />JQ17' <br />Shop Remarks ... ....... ..............._.._. <br />Work Completed ............................................. <br />