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LCA. <br />CITY OF EVERET?—Water Dept. <br />Application No.l ..,+t.- Date ........... .....3..-/........ ............... <br />19.%/ <br />Install ............................... inch water service pipe <br />Owner....... ........ .......................................... ........ ............. <br />e. <br />Address ............. .......... <br />Lot.......................... ... _............... ... ......... Block No....... <br />Addition... _....... ....... .._................ _...................................... .................................. <br />sib' % - II <br />By............ ............ ._..... _.._._... ...................................... <br />Superintendent <br />ShopRemarks ....... ... _.......................... .........._......_.........._......_.........._.._......_.. <br />F <br />Work Completed ............... ,...................... ................... ........ ..................................... <br />oremen <br />