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/ 731 a0 Acct. No ... 6z.-V/..il.�7....... <br />CITY OF EVERETT—Wafer Dept. <br />Applicatioi. No.11.1.4:.... ...... Dale......... ................. 19...... . <br />Install ............... _......... .. inch water service pipe <br />Lot........... _......................... ............ ......... Block No .... .............. _.................... _ <br />Addition............. ......... .»...... ...... .......... ... ................................... _......_........__.. <br />Contractor....................................................... _........ .__......_...... ......._.._.__ <br />Amt........_.._......_._........__... Rec. No .... _...... ....... <br />_.._......_.._.._.._....._.....__... <br />:4C.'.......... <br />By ..........................._.. .. '..S er tet ant <br />Shop Remarks. <br />Work Completed....................... _.... <br />Foreman <br />