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G <br />Acct. No /%/............ <br />CITY OF EVERETT—Water Dept. <br />/.. Y <br />Application No,i��.!�.'..lf. Date...................3....................1s.G. <br />..-./. <br />Install ................................ inch water service pipe <br />Owner. ............................................................................ - <br />Address.... .%/�..."....Ra...... r......................................................... <br />........0.... Block No ............ ........ .............. _..... .... <br />Contractor.........._......_....................................... <br />Remarks......... . .....................4......... <br />....................._.... ............. ......... <br />Amt............ _......_................ Rec. No ........... _......... !............ ... ............................ <br />By........... ............ ......... ». Buperin......................... in......tenden......t........ <br />_....__............................................... I <br />Shop Remarks ................ ...................... ...... _..... <br />................»..».._......_...._......_ . <br />Work Completed .......................... ...................... <br />............................................... Foreman <br />