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w. D. FORM 0 ��iSJ CJ <br />CITY OF EVERETT--Water Dept. <br />MAR 1 tssz <br />" au�n. No..........:......ci Date .............................................. <br />..19...... <br />......�. gstail/'�....._.............................. <br />.n:.....�.iyn�✓Jwat,-.,aservice pipe <br />.... <br />� <br />For v211 ?C <br />On ...._ ......:'.......... Street <br />91 <br />r..f -------------- -------- Block No ......................... ............ <br />Addition.......................................................................................................... <br />Remarks.......................................................................................................... <br />.............. <br />-.............::.............. ............................... <br />............ .......... ........................................................--- <br />.... I ...... /Z..-.... E... ...... 6.?............... -....................................................... <br />Superintendent <br />LABOR AND 'KATERIAL USED <br />Nn. Size __-- <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />No. Hours Labor.............................................Cost.................................................... <br />Cutin .................. ..Pavenicnt.................... X........................ ........................Sq. Ft. <br />........ X ........................ <br />.................... X........................ ........................ <br />Total ........................Sq. Ft. <br />Remarks........................................................................................................... <br />.............................................................................................................................. / <br />OrderReceived ...................... ......................................... ........ .... ...-............. .. / <br />I`Iork Completed........................................................................................... f <br />Foreman <br />