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L. <br />0. FORM/ 600 G (V 3 <br />- CITY OF EVERETTMater Dept. <br />Application Nol. - " " (. — "? <br />Date ........ .......................... 19 .... (. <br />J-istall Ifich ater service pipe <br />For .77 <br />e c— �: ................. <br />On ........... 2,R.Z ............... . .. ....... Street <br />Lot.............................................. .............. Block No..................................... <br />Addition ............................. <br />Remarks ..._..................... 24 <br />.......... ...................... <br />- ... * .... *"'* Z 1.- 4 <br />Superintendent ' <br />LABOR AND MATERIAL USED <br />NO. Size I <br />I— <br />.... .............. ...................I....... end Connection Co— <br />mplete .................................................... Saddle Connection <br />Service <br />Cock <br />Service Box <br />OrderReceived .................... .. . ... .... . ..... .. ...... ..... . ......................... <br />WorkCompleted ....................... . ... ........... .......................... .. <br />Foreman <br />