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rJf I <br />- CITY OF EVERETT--Water Dept. <br />Application Date ........ ...5.......... I .......................19....G.-. <br />/1lnstallJ�...........j` inoh water service pipe <br />For Li ,17[l r .CC.a�.....�7..'t.`.t.................................... <br />y <br />On..............l�.c...`.......r:..:_:.:._.....................__....... Street <br />BlockNo ......... .._................... <br />Addition................. ......................................................................................... <br />Remarks ............ .... <br />.............................. <br />5.... 2.7..:>..�:.:�'..r�t c.S..G•f.?X.L ...................... <br />........................................................... <br />f............................._...................._............_......_.._.._... <br />�• y...................................... <br />.............._.............._.................................._.......... <br />.............................................. Superintendent <br />LABOR AND MATERIAL USED <br />Lend Connection Complete <br />Saddle Complete <br />.............I Service Cock <br />Service Box <br />......................................................................................................................... <br />OrderReceived........................................................................................ <br />WorkCompleted ........ ...... ...... ................................................ ..... .........__. <br />Foreman <br />