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R'.7. PMlfbf r • f <br />CITY OF EVERETT--Water Dept. <br />ApplieatienNo.....U.. Date.. ........... <br />......................__...19...... <br />�^ 7stall..........................._..inch water service pipe <br />For <br />On .. GG �y/lar reef <br />—^^Q7- ..... � ........._. `C _..»... Street <br />Lot............................. »._.......... _......»:. Block No....».�._ _ ...._.._. <br />Addition...................................._.»................................... <br />Remarks ..................... <br />...... _.................................. <br />.................................................... <br />.,r............................................ ........................................................ <br />¢........... �.. f'........................_............ <br />S—.7....-._66................ <br />Superintendent <br />LABOR AND MATERIAL USED <br />No. 1 Size I — <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />No. Hours Labor ........................... <br />Cut in....................Pavement....... <br />.....................Sq. Ft. <br />------.... _................ .� <br />.................... X........................ .� <br />........................ <br />Total ........................Sq. Ft. <br />Remarks.................................................................I.............................. <br />OrderReceived............................................................................. ». .. .............. <br />WorkCompleted............................................................................ ................ <br />Foreman <br />