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W.D. F.=D o-4619B55 & —) 7 <br />CITY Or EVERETT- Water Dept. <br />Application No .............. ........ ._ Date.... ..........................................19....... <br />Install ...._..._........__.........Inch water service pipe <br />For.................... ...... ................ ............_................._.._._..............._............... <br />On......................._...3...!._............................................................... Street <br />Lot...........' .............. _.._..................... ....... Block No .................... _............. _ <br />Addition....................................................................._................................_. <br />Remarks............................... ....................... ....... .............. <br />,.._..------.......... <br />Superintendent• <br />LABOR AND MATERIAL USED <br />No. I Size i <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />No. Hours Labor ......................._..................... cost ........................... ........................ <br />Cut in. ................... Pavement ........... ........ X ........................ <br />.................... X........................ ..................... �. <br />.................... X................... _... ....... I.............. .� <br />.................... X...... I................. <br />Order <br />Work <br />