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w. o. roaM 1, <br />CITY OF EVERETT--Water Dept. <br />Date.....:'..:........:... <br />Application No ......................... ........................19...... <br />�) Install.... .. <br />��.............inch water service pipe <br />For........5 ��:_..............� ....:......... <br />Addition <br />Street <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />i..! <br />......... r....:...... _......................... ......................Pipe <br />Service Cock <br />Service Box <br />_U.r........,�r...fS.r'..:r r...._.....��..r..�._......_...__..... <br />No. Hours Labor........................ ......... ... ...... Cost ... .... ............. ...... .................... <br />Cutin .................... Pavement ............... ... X............... ....... ....... __.... ....... Sq. Ft. <br />n <br />................... x.... .__.............. <br />Total............. ........... Sq. Ft. <br />Remarks ........................... ............... _............................................................. <br />.... <br />................................................._...................... ..1........ :............................. <br />OrderReceived .......... ........... ......... ........ .._... ........... .... ....... * ..._.................. <br />Work Completed.a...... ..'i....:.1._._.......__....._....._ .. _'...:........ ............... <br />Foremaan <br />