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w. o. ronw a <br />CITY OF EVERETT--Water <br />Dept. <br />b.... Date <br />/ <br />Application No..��:f. .........::�.�1.....................194F.:�/ <br />Install ....... _...... _ ..............inch water service pipe <br />I nr ........................_...................................................... <br />S"3�3 ��! r� <br />On ....:....:.....................»......»................. .......... <br />_..... <br />Street <br />Lot ............................... _.............. ....._....... Block No ......... .._....................... <br />Addition......................................................................................................... <br />Remarks................................... »........................... ....... ..................... <br />......................................_............................................................_..»......_..»..».» <br />..................................................... _......................... ........................ <br />......... <br />....... ..... _... <br />.......................................................................................»...........................»..»... <br />.....................................................................................................»..........».. _..»... <br />Superintendent <br />LABOR AND MATERIAL USED <br />Size <br />............_.._».... .._.... ... .............. Lead Connection Complete <br />.............._.._.......:..... Saddle Complete <br />»......»..»..» <br />....St. ......................... ................... _.......... ..... ... _.......... ............... <br />Pipe <br />_........ _.............. Service Cock <br />.............._......_... <br />_.._.._ .................... ... I....... Service Box <br />No. Hours Labor ................... ....... _.......... ...... Cost. ...... .......................... <br />....... .... <br />CutIn... ................. Pavement. ... .. . ...... ... X ... ... ............... ...................Sq. <br />Ft. <br />....................X......_.._.._.._... <br />.................... .............. _6...... <br />,. <br />........... ........ ....................... ......._.._........... <br />.. <br />Total .......................Sq. <br />Ft. <br />Remarks..........................................................................................6.................. <br />............................................................................................................................ <br />..............................................................................................................._»»...».. <br />OrderReceived..........................................................................._.................. <br />I <br />WorkCompleted.........................................................................Foreme <br />... <br />n <br />