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M'. 9. IORM 5 ✓ <br />CITY OF EVERETT--Water Dept. / <br />Application No.Z.11..� ..lP. !( Date ......... E-.1 ..........................19..6 <br />Inst 11..........................._..inch water service pipe <br />For.. .. /..-...--p i/`:¢'t...---...i...__...._._...--- ..................... ........... <br />On_. .Y - -------- Z?,. .-...... ................................. Street <br />Lot_ ......... ...---------................. Block No ..... ........................... <br />LABOR AND MATERIAL USED <br />No. Size <br />No. Hours <br />Cut in....... <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />.........................%. Ft. <br />1. <br />................... X........................ M <br />......X ........................ ........................ " <br />Total ............... .... __Sq. Ft. <br />C.< Ieda.�f (o4 /S — <br />......... .........................-; ...--...............�...^..----------................... <br />,------ P.v.,* ... a.Je----- 7....../ 9..._ g.3L.f.-_4../........_ <br />Order Received.... ....... 4.f'....... <br />'...,I,[.._._Pr..fi._._a_.../F�...craa-s; <br />WorkCompleted ....................................... .... ...._................ ..... _.. <br />Fo�man <br />