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8 95- qa..?-_ <br />CITY OF EVERETT—Water Dept. ....... .... <br />Application <br />Date .................. --? <br />Install..._„_.,_„_„_.._... ..... inch water service pipe .......... ........ ... <br />Address........, 7Z� — ,cP LA <br />Lot................... . .......... . ............................. Block No. <br />Addition......-___ <br />Contractor . . ...................................... <br />Remarks ............ ------------------ <br />_......_............._....................... <br />Rec. <br />iu" P_­ re_1n­t*e* *n* *d* -e-n- _t I - - - - - <br />... ­ .... ....... . ... ................. ........ <br />Shop Remarks......._,._.._, <br />.................................... ..... . ...... ... <br />Work Completed ....................................... . ............. <br />