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W, n. Form S8 0 0 <br />S. 7. l n.h. <br />CITY OF EVERETT--Water Dept. <br />Application No_____________ Date ---- --- _-_.---------- 19.--- <br />Install . _ _ _ _ _ _ . _ . _ . _ _ _ _ _ . inch water service pipe <br />For . -•----------•---------- — <br />On------------- —----'------------------ ----------- ..Street <br />Lot.-------- -------- ----- Bloc'.: No ................. ..... <br />Addition ----------------_----- ----- ----------- - <br />Remarks-- ------ -----•------------- ---..__.. <br />---- -- <br />----------------------------- ---- ------- <br />LABOR AND MATERIAL -USED <br />Lead Connection Complete <br />Saddle Complete <br />1 <br />Service ck -- <br />Service Box —( <br />---------------------- <br />--------------- I --------------- I -------- *------------ -------- ----- ...--------- .-------------- <br />No. Hours Labor ................... fo_ Co,f,;41._. _------------------._. <br />Cut in ------------ Pavement ...... ...... X......... .---- _______________Sq. Ft. <br />.. ._X__._._------- .. <br />X______________ .. Total ............Sq. Ft. <br />Remarks-- 4.1r <br />r �!. <br />------------------------------ <br />Order Received.. ---------- ------------------------------------ <br />Work Completed - -------------------------•- <br />Fommnn <br />