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OTl OF EVERETT-Mater Dept. <br />/ .;R <br />Applic,oi.n No ... 7.1. Date ..... ....... .................................. 19 <br />. ........... . inch water service pipe <br />For.... k, I .......... ........ ...................... <br />On .......... ....... Street <br />Lot. ..................... >�lock No........_....... <br />Addi......... .... & <br />Rem,Mn .... .. ....... -4 ..... f; .. ...... .... <br />............................................................ .................... <br />.............. <br />......... ... ......... .............. <br />. . ......... <br />...... ......... ................ ............... . ................ Superintendent <br />.......... <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />..............................................._.......Pipe <br />