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� / '�7 /j ' <br />41010a <br />v. r . <br />CITY OF EVERETT-Mater Dept, <br />Application No.j .. n�'.-.Date ..... ..... . ..................... <br />Install... -._`.......... a inch later service pipe <br />For ....... <br />............. <br />.on. ................................ . ...... Street <br />TM ..................... Block No...._.._.._.._._.._....._.... <br />Addition................................ 1) ......................... : 3 ................. . ..................... <br />Remarks......................... ........... ................ <br />.......................... ........... Superintendent <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Snddle Complete <br />................. . ... ILI . ........................ Ser-Ace Cock <br />.., <br />......... I ................. I ........... -''-'.--* - "I '9­e'rVl*C"0* ... B'O'*'x ... <br />