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df 3 <br />u. roww a <br />CITY OF EVERETT--Water Dept. <br />Application Nol zrG?..��: Date ...... E.2............_...............19-Z7.,2 <br />ills 11....... ........ .._..... inch water service pipe <br />For ..Lc-.2.-Xti.......V .. 4�................ ............ ..... <br />_._._. <br />On.. ...... ......... .......... ............ ._.. Street <br />Lot.................... ........... ...... _... ... —_.._... Block No...... <br />Addition <br />Remarks <br />Superintendent <br />LABOR AND MAYEI' AL USED <br />No. Size <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />No. Hours Labor ........................... _................. Uost........................ _._... ................... <br />Cutin ............. ....... Pavement ............ .... X ................... ........ _........... Sq. Ft. <br />...........X- ............. ... ... .. <br />.................... ..... ........... ..... .. <br />........................ <br />Total .......................Sq. Ft. <br />Remarks .. _ _ _... <br />order Received ... ...... ...... ............................... ............. _...... _........ <br />............ <br />1VorkCompleted............................................................................................ <br />Foreman <br />