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CITY OF EVERE TT --Water Dept. <br />Application No... _:_ Date. ............... j ...... / ...... ............ 19...:.. <br />flnvtall....... _._ ..................inch water service pipe <br />For.... ... ............ .............tt.'rk............................................ <br />Street <br />Lot........................... ... ._................. ....... Block No ........ _......................... _ <br />Addition................................�... .......................... <br />Remarks.................. ........... A-L.A.. n_ � _......... _....... <br />............... .---------- <br />Superintendent <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />................ --......... ..... ............... ...................... .......................................... <br />.......... / <br />OrderReceived........_.................__.._.....___.........._..._......................... <br />Rork Completed . _ ...... .. <br />...........Foremaa ........_ . n <br />