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CITY OF EVERETT--Water Dept. <br />Application N'o.... /Zs.:Z.l. '. Ate ......... .............19...... <br />Install ................ ............. _'nch water service pipe <br />For ........... . .................... ............_...._...................... <br />........................... <br />On ... ....... 64..�.�-.�..„..„..„....... ._..::1I.�.:........................... _....... .street <br />Lot................... _.......... _.............. „.... ........ Block No ............... ....... _._...-_ <br />Addition................... _........... .................................................. _..................... <br />Remarks....... . ............... _...... ..................................... ......... ..................... <br />LA30R AND MATERIAL USED 1/ <br />No. <br />Size <br />I_ <br />................. ..... _ <br />........................... <br />Lead Connection Complete <br />_._.. ....... ....... _............................. <br />Saddle Complete <br />... 't............ <br />„........... <br />..... ........ ..................... _...... ........... _.._.._....... Pipe <br />...... _...... _........... <br />.... ...................... <br />Service Cock <br />...... . ................... <br />.............................................. <br />.... _........... I.._..... <br />Service Box <br />I .......................................... _............ _.................................. _........ ... <br />No. Hours Labor ......................................... Cost. ...... _......._._..»..___.._.._......»... <br />Cutin ...... .............. Pavement ............... .... ..................... ................ .... Sq. Ft. <br />................... X....... _.._........... .. <br />.................... X........... ....... _... .. <br />................... X........... I............ .. <br />Total ........................Sq. Ft. <br />Remarks............................................................................................................. <br />I <br />............................................................................................................................ <br />....................................................................................................._..»_ <br />Order Received .................................................... ..„...................... ........ <br />........ <br />1VorkCompleted..........................................................................For.................. I <br />eman <br />