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w. P. ronm e' C C <br />J J Acct. <br />CITY OF EVERETT—Wafer Dept. <br />Application No./... , r..2.. (.. Date .................. ..-/.. _.................. v <br />Install ............................... inch water service pipe <br />Address.......... �,i-.... d:.Li.... <br />Lot........... .... ... .............. .... ..................... Block No ............ ........ .............. ........... <br />Addition............... »...... ...... ....... ......... ».......... ................................ ...................... <br />Contractor...-. --- - -------- - <br />Remarks..........iG?�. <br />Amt...._._.._.._.._......_.._.._... Rec. <br />By........................... _................ .._.................................. <br />Superintendent <br />Shop Remarks ......................... <br />WorkCompleted...................................................................................................... <br />Foremen <br />