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• O. FORM ! 490 3 <br />Acct. No....C�1-3 f1.U.7.. <br />CITY OF EVERETT—Water Dept. <br />Appiication No... liF..`? Date ......................... FZ1 .............. fi <br />install ....... ........... ........... inch water service pipe <br />Owner........... ... ... ....... ... _....... .......................................................... ............ <br />Address.... ........................................... <br />Lot............ .._...».... _...... ............ ..... ....... Block No ..... »................................. <br />Addltion..._......_.._.._..».._.._.._..».._.............._»..._................ ........................... <br />Contractor... ....... ...... _.._.._......_.._.._.»_._......_..».._._.._........ __.................... <br />Remarks ....... _.................... ....... _._._.............. ....... <br />_._ .._.._. <br />Rec. No ........... ..... <br />Bq». --------------- —_..».w._»_...__................................. <br />Superintendent <br />ShopRemarks ................................................. __.....__».._»..._.._.._»_......_.. <br />WorkCompleted....................... .................. ... .............. ............. ... ..Fore.....me.....n......... <br />