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L i PIII <br />w a ITY F EVERETT- Water Dept. <br />�� �' J �-..la :S� <br />Application No .................. • -- •••- <br />........... <br />r _- 9..•inch water service pipe <br />Install..... .... - <br />For <br />Strget <br />r...:._r...... ...... ................................. - - <br />Lot ... ............. ...........?V. <br />. Block No...._f.::�.�t <br />Addition..............................am.............:.....V. <br />Av <br />Remarks .............�. <br />t._............... <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />.St. _.._.._................. ............Pipe <br />...er......vic...e..Co......c..... <br />.... <br />................. <br />._....... <br />..................................... Sk <br />........ Service Service Box <br />No. Hours Labor ....................... _.............. ....... Cost .......... _.._....... ............... <br />Sq.Ft. <br />......._.._........... <br />Cut m. <br />....................Pavomen ................... .. <br />................ <br />..........x........................ ......._............... <br />Total <br />/............................................................................. <br />............................................. <br />...... <br />OrderReceived .............. ._.......................... ,l............. .._................ <br />Work Completed T.a�! -. L..._..............::-:r................. <br />For eman <br />