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CITY OF EVERE"Fr.-Water Dept. <br />Application No.,/;!' Date...........: <br />.............. <br />Install ....... .............inch <br />water service pipe <br />For ................ <br />On................ <br />. ... . ................................. <br />Lot............... <br />. .. ........ Street <br />.......... <br />Addition <br />Block No........_............. ............. <br />,Remarks ....... <br />......... I ...... �0--a=r-c . . ..... ----- I � -ty ............. .............. ..... <br />.............. / ....... .................... 75! �--- <br />........... <br />..... .. ............................. .... ............... ...... & ..... ............ . .......... . . . ... <br />Buperin dent <br />...... <br />LABOR AND MATERIAL tjSED <br />......................... ........ ....... Lead Connection Complete <br />.................................................... Saddle Complete <br />. ...... .. ........................................... .. Pipe <br />..... .............. — Service Cock <br />.................................................. Service Box <br />