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CITY OF EVERETI'--Water Dept. <br />Date ........: <br />Application No. _ _......_:..._:..........................1i...... <br />Install ............................inch water service pipe <br />For.................. .... _.._......__._:........_..:.......................................... <br />On....................... _................ .... <br />,................. ......:....... _................ Street <br />Lot........... ................... _............_......_.._... Block No ........... .......... .......... <br />Addition.......................................................................................................... <br />Remarks........ .... f.............._........_............_......_._..._.........._.._...........__.. <br />. <br />::................I........................................................ ......... <br />d�D O'fi G. r ✓i; <br />ij oupenmenaent L <br />P i <br />LABOR AND MATERIAL USED <br />No. <br />Sire <br />............ _..... ..... <br />....... ....... »........ . <br />Lead Connection Complete <br />........... ...... __.. <br />....................... . <br />Saddle Complete <br />............. _... St. <br />................. ..... I <br />........................... ....... .............................. Pipe <br />.._... ...... _........... <br />........ _....... ......... <br />Service Cock <br />.._ ..................... <br />............_»...._..... <br />Service Box <br />No. Hours Labor...................... _... .......... ...... cost ...... ... .... _........ _... ................... <br />CutIn .................... Pavement ............... —X........................ ........... _... ... ... Sq. Ft. <br />...................X................ .._... . ........ <br />.................... X........................ .. <br />.................... ............. I.......... - I .... ............... <br />Total ................... ..... Rq. Ft. <br />Remarks............................................... <br />.................................. <br />Order Received _.. <br />Work Completed... <br />F <br />...oreman............I <br />