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o ea,r= Zs <br />CITY OF <br />/2, <br />0 <br />EVERETT--Water Dept. <br />,Z24 - / <br />Application No_... <br />Install ............ Pnel. wZr service p , ipe <br />On 78, ..... a/z.6._ . ................... ... . .. Street <br />Lot.... ouj ........... 3VO� ......�. Block No........_..___._.._........... <br />Addition................... . .............. . ...... ..................... ............. . .. ..... .. . .......... <br />remarks ...... ..................... <br />..... ...... . ­­ ...... 6 .................................................................... . ... . . <br />;!IL P'. ......... .............. ..... ............ ............................... . .... <br />......... .............. I ............................ ....,:....:..........--- <br />Superintendent 977L-i <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />SiddlL, Complete <br />...... �t...................................._.._..........__....Pipe <br />Service Cock <br />Service P K <br />No. Hours Labor ..........................._.................Cost-........... <br />Cutin....................Pavement..............._... <br />X ........................ <br />JW-4 ................x.... <br />A ........*.... * <br />JILe .............. <br />...... ............. <br />........................ <br />....­*....*""***... <br />... x ........................ <br />x ........................ <br />........................ sq. Ft. <br />.............................. I ......... ..... ............... 3............................. ........... <br />Orderreceived ....................................................... ........ ...... *** ...... <br />Work Cornpleted..7.=.k3.=.$,.4 ............... . 0*`e <br />"Ii <br />