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CITY OF EVERETT--Water Dept. / V <br />Application No.1...... 31 ... Date...3...:..........................19.4Z..jl <br />Install ...............................inch water service pipe <br />For............ ...... _. <br />On ....lCd�.�`.....l�l?2.................................. Street <br />Lot............................................../............... Block No ......... ...... _........... ....... <br />Addition .... <br />Remarks .... <br />Superintendent <br />LABOR AND MATERIAL USED <br />No. I Size I <br />-,...,._...................._................. Lead Connection Complete <br />.................._.._............................. Saddle Complete <br />it. ..... <br />...... <br />.......... <br />........ ....._........... ................. _....... Service Cock <br />---------.... ........ ......... ...... I......... I Service Box <br />:Ic-. Hours Labor ... ........................................... Cast. ..... _.._.... _ ........ ... ................... <br />. <br />Cutin...................Pavement.................. X............... ........ ................... .... Sq. Ft. <br />.................... X... ... _............... .� <br />.................... X............... ........ <br />...................X........................ <br />........................ <br />Total ........................Sq. Ft. <br />Remarks............................................................................................................ <br />OrderReceived........................................................................................... <br />Work Completed ..................... :........ ................................................. .... .... <br />.... <br />Foreman <br />