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Acct. No.... <br />CITY OF EVERETT—Water Dept. <br />Application No ... /..._�'. 1 �:.� Date ..................._ . <br />Install. ........................... inch water service pipe <br />Owner....... ....... _...... _.......... _.... ..... _.......... _............... ............ ................................ <br />. <br />............................ ............ .... ...................... <br />Lot............... _.............. ............. _....... ..... Bloch No .... ....... ........................ ...... _.. <br />Addition................... _........... ........ ......... _........... .._... .._.............. .......... ............... <br />Contractor..._ ......... ...................... _.......... .............................. _.................... <br />Remarks........ .?liGfL._.._..._........._.........._......_.............._.._......_.........._. <br />Amt... _.............. ............... Rec. <br />sy..._._.._.._..._._.._ ._..__...._._..................................... <br />Suprrintend:nt <br />ShopRemarks ..................... _..... _.._.........._..._._.._.._..___._...................... <br />WorkCompleted ........................ .............. .......................... .................................. <br />Foreman <br />