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/S Z ofZ <br />w. C. roRM 3 <br />CITY OF EVERETT--Water Dept. <br />Application No.�.J... .J�.a Date.......... r .. l.......................19_ <br />• Instal arch water service pipe <br />On .......I. ...24yz:-4. ✓............................................ Street <br />Block No ................................. <br />Addition <br />Remarks ....................... <br />...) ...... _ <br />.......................... ........... ...._L!.�.li..•!!.':`,�..Gtr. C4.I.�:..................._ .........».._... <br />... ........ <br />................ <br />................................... <br />_.......... <br />_.._... <br />.............................. ..... ....... <br />......... _................ _................ _.... ............. .............. _... <br />._�/.-._?-/...-..le.._%................_...•-------......................._............................. <br />Superintendent <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />No. Hours Labor ........... ...............................Cost..............----....._.._...................... <br />Cutin....................Pavement.................... X ............... _....... ........................Sq. Ft. <br />...... X .................._... <br />Total <br />....................... .1 <br />........................Sq. Ft. <br />......:.........................................:.........................................._.................:.._........... <br />OrderReceived............................................................................................... <br />Work Completed .....: ........................................... <br />Foreman <br />