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/ 7S32 C� <br />CITY OF EVERE Ff--Water Dept. <br />Application No.f !�._r1...F?.r4r.. Date ............... ...:... <br />`.........19.»... <br />Install...............................inch water service pipe <br />For........................``..../........................». � ......... . <br />On.......................... .li...-...lf.s............ .2:................... ....... Street <br />T..f ........... ...... Block No ................................ <br />Addition......................................................................................................- <br />Remarks ..... .. ... .... <br />................11/........................... _...... .... .»....................................... » <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />.Pipe <br />Service Cock <br />Service Box <br />...... I............................................................................ <br />OrderReceived...................................................».........................................., <br />WorkCompleted.........................................................................Fo.........reman.......... <br />