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r <br />CITY OF EVERETT-.-Water Dept. <br />Application No.1 .... I ........ ...... <br />. <br />Date .......... . L ............ <br />Ins 11 ........ ........ .......:../inch water service Pipe <br />For ---jg..... ..... ..... ....................... Street <br />On.. ......... . .... ... ... ......... .. . . ........... <br />........... ........ Block No........_ ........................... <br />Addition........................................ ­* ... * ..... * ........ ** --------------------- <br />Remarks....................... .... ;;P; ......... ....... , ................................... <br />I:z";,-Z) .................................... <br />......................... .-K: ---- / <br />y.0 . ...................................................................... . ....... <br />........... ....'C......... <br />............. .......................................................................... <br />........................ Superintendent . . . . . <br />LABOR AND MATERIAL USED <br />No. bize i <br />Lead Connection Complete <br />............. ............. 7Saddle Complete <br />Service Cock <br />Service Box <br />No. Hours Labor ................. ** .... * ...... ** ... * ...... *­c051 .......................... . ............... <br />Cut in ..... ..... ....... Pavement .................... x .... 00 .................. .... I ... ............... Sq. Ft. <br />11 <br />x <br />.................. x ........................ ........... <br />Total ............. — ....... Sq. Ft. <br />Remarks................................ .......... * ............... * ......... * ................ <br />................... <br />........................................................... I ......... .................................... . ........... <br />Order Received ..................................................... ........... <br />JVork Completed........... <br />MANIMAiiiiiii* .... F-cr"e"man <br />