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CITY OF EVERETT,JVarPr Dept. <br />Application No./ Date ............ .J.. <br />... ........................19..1: <br />/ install .... .....................inch water service pipe <br />For ......,„ <br />On ..... _:Y.....:..,i........, %_t...%/./..:.BJr ........ Street <br />Lot... ................................. ....._......._...._... Block No........_........ <br />Additirn ........................ ......... _..... <br />_ <br />...... ............... <br />.............................................. <br />............. <br />.....................................................ti.....i....R....SD..t .................. .. <br />Superintendent <br />e <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />......_.................. _ ........................I Service Cock <br />.........._.._.._ .................................. .I Service Box <br />Order Received .......................... <br />Work ComDleted..__- <br />-........................................................... <br />Fora <br />