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CITY OF EVERETT-..Water Dept. <br />Application Nol.l.P..j .... Date ............:............. 19:.... i <br />Install ....... _ .....................inch water service pipe <br />For................ a _ �?c ......t+n5.s........................................ <br />W e.c .. <br />On..........._.......... :::a.-, r5f................................ _....... Street <br />Lot............................................. ...... ........ Block No ......................... ..... <br />Addition.......................................................................................................... <br />Remarks ...... l?..r.aZ_..... aamv_- .................... <br />............................ <br />Superintendent <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />................................... _............................. _ ..Pipe <br />Service Cock <br />Service Box <br />No. Hours Labor........................... _... ..... _.._. COIL ...... ............. _... ........... ............ <br />CutIn...... .............. Pavement ................_.X ...... ....... ....... ....... _.............. Sq. Ft. <br />..._..............X............ ..... _... <br />.................. ..X..._......_.._..... u <br />........... ......... X........... _.......... .� <br />....................... <br />Total ........................Sq. Ft. <br />- - ------ ------- <br />Remarks .................... ................... ..... ... .......... .... ..... ............ ........... ........ <br />_._ <br />OrderReceived..............................................................................._ ........... <br />WorkCompleted........................................................................................ 1 <br />Foreman <br />