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9. J. rRl[![ ]M, � �� , f 4 `� � •� <br />K. p. fORM ] V�I Zi ^/ <br />� CITY OF EVERETT--��Uater Dept. <br />, �An<�� (� /_ <br />Application No ....................... Date......_\ �_,�.........19.SL�� <br />Install ........................�,; .inch water service pipe <br />For.................................. Q� <br />On ...r..y.Z...r.r.�.I..%.�....ti.4�C.!.r......:��iiJ.._......_......_ ....................... <br />Street <br />Lot.............................................................. Slock No...... ---•-•--...-------........... <br />Adclition......................................................................................................... <br />Remark.a ................. <br />............. .....-� -- - -- _ _ <br />Superintendent <br />LABOR t1ND MATERIAL USED <br />No. i Size ( ' . <br />_......... ................I Lead Connection Complete <br />._ ....................... Saddle Complete <br />.......................... ....................................................................Pipe <br />.........._......_...... Service Cack <br />................:......... Service Box <br />........ .... ........... ............... ................................................................. <br />.........................I ._.._.................................:........................... -..._. <br />No. Hours Labor .........................._................Cost............._................---.-............. <br />Cut in ............... Pavcment....................X........................ <br />. .... ........................Sq. Ft. <br />� ....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........-- .............Sq. Ft. <br />------------ <br />---- <br />Remarks...................................................................................... - -- - <br />........................................... <br />Order ��eceiced............_.. <br />�Vork Completed......_..... <br />................................... <br />Foreman . / <br />