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D. ml S3%9 <br />w.CITY OF EVERETT--Water Dept. <br />Application Date .............. .................... <br />Inst ik -inch water service pipe <br />2 CZ <br />For. ...... ..... . ......................................... <br />On....... ........................ . . ....... Street <br />Lot..................................................... ... . ... Block No........_..._._.............__. <br />Addition.......................................................................................................... <br />Remarks <br />110 004w, <br />4 ........ 67 ........... <br />P. ... ................ <br />Superintendent <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />.. .......... ................ ........... ........................... pipe <br />Service Cock <br />Service Box <br />I <br />...................................................................................... ....... ... ....... ............. <br />OrderReceived. .. ............................... ............. ... .. .... ............... .. ....... <br />WorkCompleted ......................... .... .... .. . ......... _ ..... . .. ­ <br />Forenvin <br />