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/,S'og 7 6 rya <br />- CITY OF EVERETT- Water Dept. <br />Applicati-m No.l..a.. 7d.. Date ........ s.!i�?.. ................ 19:7�. <br />I/ Install ..............................Inch water service pipe <br />For, ....... ..,� ......................... <br />On ...... 1....P.....0.m...... P-re......................... Street <br />Lot..................................................... _....... Block No ........ ... _....................... <br />Addition..................................................................................._..................... <br />Remarks.........,..._.......................... _..................... <br />Superintendent <br />LABOR AND MATERIAL USED <br />Lend Connection Complete <br />Saddle Complete <br />. .............................. ... ........ .............. ............. Pipe <br />Servlcr Cock <br />Service Box <br />No. Hours Labor........................... _................. Coot ....... ....... ........... ... ................... <br />CutIn..................Pavement............... ... X........ ............... ........................sq. Ft. <br />,.,Cut <br />� i (�.................. .x................... <br />................... X............... _.. _........................... <br />--c, y ..X ......... <br />.� t Z — Total .......... .I._ ... ... .Sq. R. <br />Remarks... .... .......... ..._.._ ...... <br />........................ ........ ....... ................................................................. _.................. <br />OrderReceived .......... ....... ..__....................................................................... <br />WorkCompleted....__ .... ..... .................................................................... _. <br />Foreman <br />