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CITY OF EVERETT--Water Dept. <br />Application Not?. Date..... i .w� <br />InstalL...... 3` ........ .inch water service pipe <br />For.... .caae . `......................................................... _..... <br />On :....... ........ ..... cc4aY y r .......................... Sheet <br />Lot.... ---_ ......... . .... ..................... ....... Block No... !:�L4=.._............... <br />Addition <br />Remarks <br />No. <br />AV - <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />7 :r <br />...._......___.._......._._......_....... Pipe <br />SeceCock <br />Service Box <br />No. Hours Labor ............... - ...... -.._.............. _. Cost ........... i........ <br />............... ............. <br />Cut. in .................... Pavement ... _...... _.._ <br />... ....... ................ <br />'.......... ............... Sq. Ft. <br />�� etBt6.... -.......... <br />X.._......7:.......... <br />........ ............... .. <br />... .... _........... <br />............. :.......... <br />........................ .r <br />_... <br />... ... X........................ <br />Total <br />........................ .. <br />........................Sq. Ft. <br />................... ... ..................... ... . ti.........:...........---------------....------------- <br />Orderreceived .... :........................... ................... ................................... <br />Work Completed.v::12.'�� 7........._ � !C f�aet. .................. <br />Foreman <br />.r. <br />