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. - - /GS"9'S'�- - �� � <br />w. o. rn�r a %�� `�� <br />CITY OF EVERETT--Water Dept. <br />�� J ,, _ / , <br />Application No. �� �:.. �....... Date..._ ...........................................19_�.: 1 <br />7nsta1l ...............................inch water service pipe <br />For.............................../...............'7f ............................. .................. <br />•] �'3 % C lj/. � LC_��c�� .. � ��:.�/,� - <br />On .............._...................... �...:,::......;..._......... .Lt-�....._`-��.... Street <br />Lot..........._ ........................................_�...... Block No.....--------------�------ <br />.9dclition ......................................................................................................... <br />Remarks <br />Superintendent <br />LABOR AND AiATERIAL USED <br />No. I Size I <br />Lead Connection Complete <br />Saddle Complete <br />.................................................... ................... P i p c <br />Scrvicc Cock <br />Service Box <br />No. Hours Labor ..............................................Cost................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ ,� <br />........................ <br />...................X..�_.._.............. ....................... �� <br />....................... <br />Total ........................Sq. Ft. <br />-- ----- --- <br />Remarks .......................................................................... .................................. <br />Order Received............ <br />\Vork Completed..__... <br />............ <br />Foreman <br />