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w.0. roRM 3 <br />�- CITY OF EVERETT,-Water Dept. <br />Application NoIZ-�ZJ ... Date ................................. J-.1-19k.y <br />Install ...............................inch water service pipe <br />For..................................;................................. ................ <br />On......... l .............................. ...................................... Street <br />r -A .......... Block No........_.....--- .................. <br />Addition <br />Remarks <br />Size <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 />V. ....... ........................ 11 <br />Order ReMl <br />Work Comp <br />M <br />................... X ........................ ............ ............ <br />Total ........................ Sq. Ft. <br />i0*r"e'm'*'a"n" " <br />