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I S 555� <br />w u. ronw o <br />' Acct. No..a7.T..�..t! �.y.. <br />CITY OF EVERETT—Water Dept. <br />Application No... 11'. ..a ..Y:. Date ........................ ........ � <br />Install ............................ inch water service pipe <br />Owner................ .... _.................................................... ...... ....................... ........ ..... <br />. <br />Address ....... ....... /u-- .O.Pr{p (A ........ ............... ....... ... <br />Lot------------------ __................. ........... ...... Block No .... ............... .............. .......... <br />. <br />Addition................... ___...... _.......... _.......................................... ........................... .. <br />Amt...._.._____.._.._.._._.._... Rec. No .................... .... ...... ........................... <br />Ry........... _ ... .......... ... _...... _--- .__. _.._.._.._------------------- <br />Superintendent <br />Shop Remarks.... <br />WorkCompleted ....................... ............ ..................... _.._... .._............................. <br />Foremen <br />