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v. d. aa¢ac su 13+ r <br />W. D. <br />roam � <br />CITY OF EVERETT--Water Dept. <br />Application No .......... .............. Bate......... .. �111.. .../..........19.L�1 <br />Install ..............................' ch water service pipe <br />For............ ............... ......................... ..................................... <br />On ....Sp�..s57��0 771 = L 1 ............. _....... Street <br />Lot...................................................... .._... Block No ........ _... .................. <br />Addition......................................................................... . <br />Remarks ..................... 1C. .i_2...cA..... -- ................... <br />Superintendent <br />LABOR AND MATERIAL USED <br />No. Size I <br />Lead Conrection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />No. Hours Labor ... _......................................... cost .............. _.......... _....................... <br />Cutin....................Pavement.................... X........................ ....... ....... _....... Sq. Ft. <br />v u <br />.................... X............ ...... _... rr <br />.................... X........................ rr <br />Total ........................Sq. Ft. <br />Remarks....................................................................................................... <br />.....................• --...................................................................-•----..............---------•---- <br />OrderReceived................................................................................................ <br />WorkCompleted........................................................................ ............. <br />Foreman <br />