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CITY OF EVERETT —Water D.•pt. <br />Application No.J.7- •L.... Date ........ <br />InstalL.............. _••-••• inch water service pipe <br />Owner <br />Lot...... _.......... ...... ............................. Block No ......................... ............... <br />Addition ................... -- <br />Contractor....................... .»......_.._.._........ .....».._.........._. .._.. <br />Remarks ...................................... ..................... .:._------ _.-------------------------- <br />. <br />............. !J.4i-......-......_........... <br />Amt..._ ..-_-.._......_. _.._... Rec. No ................... __.. »........._.... <br />By. ..... ........................... . ._...... .._. ......._ <br />GC. <br />ShopRemarks .......................... _.._._. ....._..._._......_.. <br />Work Completed .......................................... .......... <br />Forrmnn <br />