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w. o. ro�r � /���� O <br />. CITY OF EVERETI'�..VUater Depr.� <br />Application No.... �G'..._'.. � l Date......... : '..:...! ..........................151� :� <br />lnstall ............................. .tnch water servtce pipe <br />For......................... . <br />� _ ......................................................................................... <br />On.......�..:�1...._���.::.�:.'.>J ...................................................... Street <br />Lot..................................... ... Block No..................................... <br />...................... <br />Adclition ................................ <br />.... ..................................................................... <br />Remarks .........___ <br />�� <br />..... ... .............................. ...................... <br />.......................... ....................... <br />...................... te.l. <br />.................. <br />.................. <br />Supr.rl�lendent <br />LABOR AND MATERIAL USED <br />Lcad Connection Comp]ete <br />SaddlE �omplete <br />........ ........................................... <br />5crvice Cock <br />Scrvice Box <br />......................... .. ........................ <br />..................................................... <br />... .. .............................................. <br />.—. ............. <br />_ . __....... <br />o. Hours Labor ..............................................Coat................................................... <br />Cut in..........._.....Pavement_ ................. X..................._... <br />.. .....................Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />....................X..................... .. ,� <br />Total _....Sq. Ft. <br />- .................. <br />Remarks........................................ — — <br />............_ ............................................... .. <br />...... .... ............................ ........................ ........ <br />... ......................... <br />..................................... ......................... . <br />Order Received " <br />. ............................................. . <br />lVork Campletcd_... ...... <br />_.... ' <br />_ _._ . <br />_.. __ <br />__.. <br />Fnreman <br />