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w. o. rORM 3 <br />CITY OF EVERETT--Water Dept. <br />Application NZ ........ ....... ......................... 19.... <br />Install..... —..; ...............inch water service pipe <br />For ............ 7 <br />........... ............. . "L ..... - ) - , � <br />. .... ..... On ......... .. ............ . .............. <br />--------------- Rtr�f <br />Addition <br />Remarks <br />................ Block No....... / ......................... <br />I /'I <br />................................................ <br />" " I <br />AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />iuperint,nd*'cn*_t/*1�_ <br />GrderReceived ................................................... ............................................ <br />1� ark ..................... ..... ............. <br />Foreman <br />