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cITY OF EVERETT,,Water Dept. <br />(—L�<—<J, Date ....... MAh.-I ..... 02 ........19...... <br />n No .... . .......... . ater service pipe <br />Install ..............._..............inch w <br />Z- . .............................................. . ............ <br />For....... ....... street / ..................................... . ..... <br />On ...... 2? <br />BlockNo........_.._......_.._....._.... <br />Addition ................. <br />Remarks ................. <br />Superintendent <br />�LABOR AND MATERIAL USED <br />Land connection complete <br />Saddle complete .Pipe <br />.................................................... <br />Service Cock <br />Service BOX <br />