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18 5� /. :9. Acct. <br />CITY OF EVERETT—Wafer Dept. <br />Application N000t—.ZJ r,PI)ate <br />Install......._.._......_........... inch water service pipe <br />Owner......._...... ........... . .............. .............. ............................. . ............. <br />Address .... <br />Lot............... .... ..... ................................... Block No...._.............._._. . ........ <br />Addition... ............... ... .................. ........................... .................. ....... .... ... .......... <br />Contractor <br />Remarks ............. <br />............................ .... <br />Rea. <br />By..._._.._.._........__._.._.__.._..._._......._.._.._............... <br />Superintendent <br />ShopRemarks......._.._.._ .............._. . . . ........................... . . .......... .. <br />--------- -- ....................... ................ . .... .. ... <br />WorkCompleted......._......................................................_........... .......... . ............. <br />Fortm,kn <br />