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CITY OF EVERETT,-Water Dept. <br />� - V <br />Application NoZf�......3�. .. Date....... a�nLZ ....... I.e ..... <br />.... .. ".�inch water service pipe . <br />For ........... m <br />On............. <br />. L '7 .........----- <br />�treet................. - <br />LA-............ .........Block No ........ )z 6,11 <br />.......... <br />LABOR AND MATERIAL USED <br />No. Size I <br />.......................... ........... ... Lead Connection Complete <br />...._.__.....I ......... Saddle Complete <br />....... ...... .....................................Pipe <br />... ....... ScrWL, C6ek <br />. . ...... Service Box <br />....................... <br />................. ...................... . . .............. ......... ...... .. ........................ I ...... <br />Orderreceived .................................................. ......... <br />Wnrl� .................. .... — I ...... ....... <br />Foreman <br />