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i <br />yC 8c � �I <br />w. o. roww a V <br />CITY OF EVERETT--Water Dept. <br />17gao <br />Application No ........................ Date ................... ...............3.l ... 19.0 <br />Install..............................Inch water service pipe <br />For ........... . ..... ...... <br />..........................».................. »............ .. ......... . <br />On ......� � �........._ � s..»...-!....... f < 'v........_....... Street <br />Lot............................... ............ _...... _...... Block No ........ _........................... <br />Addition.......................................................................................................... <br />Remarks .... ..... <br />................... A..... �................. ............. _.............. ................................................ <br />. <br />............................................................ _ ..... .................. ........ y�ff��jj,, .. <br />......................................... ................ _.............. I ........ <br />....... . ...... <br />Sup r den <br />LABOR AND MATERIAL USED <br />No. Size <br />........... ............ _......................... Lead Connection Complete <br />.......................... _.......... .............. Saddle Complete <br />.........._..........St................................................. ....... ................................ .... ... Pipe <br />...................................... I............. Service Cock <br />.................._.._... ............ .... I ...... _. Service Box <br />No. Hours Later............................ ... ............ cost ....... ....... .......... ........................ <br />CutIn .................... Pavement ............... _..X........................ ....................... Sq. rt. <br />................... X.................. .... <br />................... X............. ... ..... �. <br />.................... .,.......... ........... <br />....................... <br />Total ........................Sq. Ft. <br />Remarks........................................................................................................ <br />................................................................................. .......................... _ _».. _... <br />OrderReceived............................................................................._.............. <br />WorkCompleted......................................................................................... <br />Foreman <br />