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w. , 13879- <br />0. FORM <br />CITY OF EVERETT--Water Dept. <br />a <br />Application No ............ Date ....... DCC.- 1s61 ....................................... <br />Install Install....... ....... ............_ .inch water service pipe <br />For...... ?�...:�.......:. .................................................................. <br />r...... r.:....................................... Street <br />BlockNo......... ........................... <br />Addition.......................................................................................................... <br />.A4 <br />Remarks.. 4_Si......QSS°.AA1....e.... »................... ................. ».. <br />............................................. ................ <br />Superintendent <br />LABOR AND MATERIAL USED <br />No. i Size <br />Lead Connection Complete <br />Saddle Complete <br />v . ..Pipe <br />Service Cock <br />Service Box <br />No. Hours Labor .................................... .......... t0ost....... »........................... ............... <br />Cutin....................Pavement.................... X....................... ................... .... Sq. Ft. <br />.................... X........................ .. <br />.................... X....................... . .. <br />Total ........................Sq. Ft. <br />Ca>'MC.Y .; ......................................... <br />....................................... _......................................... ............. ................. ............ <br />OrderReceived................................................................................................ / r <br />\Vork Completed ......................... .............................. ................--- F.....rema.....n..... <br />Fo <br />