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W. D. IDHM Jii+ <br />CITY OF EVERETT--Water Dept-. <br />/% act L.:.`-. = ......:�..........ls..-� <br />Application No ......................... ate.........-. . <br />Install ......... VY,...............inch water service pipe <br />For...�_.."........................................................ <br />�7 J� - ( ..._..<..'.:....................................... Street <br />On ........... ................ <br />Addition <br />Remarks <br />No. <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />.............._................... _.......... ...... Service Cock <br />.._.._......_ ........................ _.......... Service Box <br />No. Hours Labor ................... _...... _................. Cost ............................................. <br />Cutin. .._...._..__..Pavement .................... X....... _..... _....... ....... _.._........... Sq. Ft. <br />.................... X............. I........ .. <br />.................... X........... _........... .. <br />Total ........................Sq. Ft. <br />Remarks...:, ... ........ ..... ......... ....................... ....................................... .. <br />.............. ....._.__..... .......... ........................ ....................................... <br />.... . <br />,J` .:....:.:................. ........... ... <br />............... .......... ............ ........ ........... <br />OrderReceived..... _..._......._.._ .... _..._.............................. ................. ..... _ <br />WorkCompleted... .............. ....... ..... ......... _...:............... Foreman ........__..... / <br />1 <br />