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/I 41O�/ A`f— 3153 <br />~'a CITY <br />OF EVERETF--Water Dept. <br />Application No.. %'io:s..... Date........................... ...... :..: L-19.�y <br />Install...............................inch water service pipe <br />For................... _....... ................... .. .......... <br />.................................... <br />On..........%.........................._......................................................... _... Street <br />Lot.................... ........................ ___.._...... Block No ............... .................... <br />Addition......................................................................................................... <br />Remarks..............._......_.._.........._......_......_......_»»......_..................... <br />...................... �. ...................._................................................__......_.............._... <br />LABOR AND MATERIAL USED <br />No. Size <br />............. ..... ........ . ........................ Lead Connection Complete <br />...................................................... Saddle Complete <br />................... ..St _............ .......... ...... I ........................ _.._......................... pipe <br />._... ................... ........ _... ............. Service Cock <br />....................... ............. <br />:.. <br />...I......... Service Box <br />...................... _........ _.._.............................................. _............................................. ......... ....... . <br />No. Hours Labor...... ........................................ cost .......................... _........ .............. <br />CutIn ...................Pavement.................... X ....................... ........ .._........... Sq. Ft. <br />.................... X....................... .. <br />m <br />.._...............X........................ n <br />........................ <br />e <br />Total ...... .... Sq. Ft. <br />Remarks............................................................................................................. <br />OrderReceived ............... _.............................................................. _.............. <br />WorkCompleted............................................................................................ <br />Forert'an <br />