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19 <br />W. 0. FORM a 14 T/ / ' Acet. No..... . .............. <br />CITY OF EVERETT—Water Dept.. <br />Application No ..... /..:Y C...'.y Date......... <br />Install .... ...... ....... __.... ... inch water service pipe <br />Owner............. _.....,_,yy_.._......................................... ...... _......... _.......... ...... _...... <br />Address.............. lx..... .............................. ........... ._...... .... <br />Lot........ ...... _......... ............... _....... _... Block No .................... ._.........._...-- <br />Addition... _... .......... __.._.................................... _.._.............._.._......._._.............. <br />Contractor.... _............. .................................................... <br />Remarks..._ "" <br />_......_.._._......... .................. <br />Amt.................................. Rec. No ....................................... ............... <br />sy......._ .._......_.._......_.._.. ent <br />8upetlntendent/, <br />..._.................._.........................................................................._......_.......................... <br />Shop Remarks ... ................ ..................................... ................... .... <br />..._......__ <br />_...... _.............. <br />Work Completed ................. ................ ........................ .............:........ <br />..................... Foreman <br />