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Ml,Soo <br />`f Arct. No.��.A.„�:T.... <br />CITYOrEVERETi —Water Dept. <br />Application Date ... ............ 3..: .......................19Ctf` <br />Install ............................... inch water service pipe <br />Owner............... _....p....................... .................... ........... <br />Address......... C... ..-..... fy.a... ........ ........._.._.......................... <br />Lot................... _.... ................................... Block No ............ .......... _.......... _....... .. <br />Ad• lition..._.............................................................._.........._......................_.._......... <br />Con; ractor...»......_......_......................_..............»..».........._»....»....._..........._.»...._ <br />Remarks......�fA,.................................... ..........._.._...._........._.».. <br />Amt.... _.» »»._.._......_..».._... Rec. No ............................ _.»..... ... ........................ <br />By........ ............................ ........ _..».............................. ».. <br />Superintendent <br />ShopRemarks ....... _...... ............. _...... ........... ................... _.............._ ..___... <br />Work Completed ....................... _.............. _.................................................... <br />....... <br />Foreman <br />,... <br />