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5 J..lie6efM".161�5/O6 1 ��, .l <br />W. D. Form � v . v <br />CITY OF EVERETT--Water Dept. <br />Application No...��.4J..�Q..� D t ... .......................���....19..`#.:� <br />st ....... ..��... inch wate service pipe <br />Fo� ............Q......�.....�.......�-:��:��......... <br />On .. <br />Street <br />Addition....................................................... ...... <br />. . . . . ................ . �- - <br />` .....,..... .. <br />Remarks ............... l�, �.�-a��:�.:....................... !.�c�cSd.�....�. ------�-�1 <br />. <br />�� LABOR AND MATERIAL USED <br />7.e�d Conneclion Complete <br />Saddle Complete <br />........................................................................ P i p e <br />Servicc Cock <br />Scrvicc Sox <br />No. Hours Labor ..............................................Cost.................................................... <br />Cutin ....................Pavement........... ........X........................ ........................Sq. Ft. <br />....................X..........._........... �� <br />....... _ ............... <br />v „ <br />x........................ „ <br />Total ........................Sq. Ft. <br />Order Received....._`.......,.._,7 J' ...:..........`.r.,--i�,r.'`l..,t�C^.Y .....::...�........ <br />� .: ' t' <br />\S"ork Completed.y�:::.,.�''.....'.'...' .:................................. :. .:................ / <br />Foreman l <br />