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W. a. roaw a // T 091a <br />Acet. No..../�i:.-..`l.1.a7L1. <br />CITY OF EVERETT=Water Dept. <br />Application No... ..... Date .............. ...... .... 19........ <br />Install .................. ......... inch water service pipe <br />n <br />Lot........................ ... ...... _........... ........ Block <br />Addition..._.................._._.........._.._............_... <br />--- ------- ------- <br />Remarks....//.JJ........_.. <br />..._........... ..K&'***—D- :.__.................... ...... _... <br />Amt...._.._..__._._..._._.._....... Rec. <br />By .......................... _..... <br />71 <br />Superinlen nt <br />ShopRemarks ................................................... _............ _......... ............. <br />Work Completed .......................... <br />Foreman <br />