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13 W. U, raR. ] 1 V <br />CITY OF EVERET--Water Dept. <br />Application No.� ................. Date....:.:............... ......... .............. 19...... <br />Install..:!/.W...................inch water service pipe <br />/,................................................. <br />OnFor ..._......:�rr /s..... _ ......_....._........-.._.....: .:.:..................... Street <br />Lot..................................................... _... ... Block No ......... ...... .................... <br />Addition <br />Remarks ............._ (a � ....... C Gr.....: ,. L, .............. ...-- <br />........................................... _.................................. ............... _........................... <br />r <br />' .............. _ ............................................. _...... _......... ..,: <br />Qt�:. _.........................1 I`............._..........------......1..................................... <br />_ l Superintendent <br />LABOR AND MATERIAL USED <br />No. k <br />' Size <br />.............. .._........ <br />........................... <br />Lead Connection Complete <br />................ . t <br />........................... <br />Saddle Complete <br />..........»l._St......... <br />" <br />..............................._.._..... ._... .................. _..Pipe <br />....... <br />Service Cock <br />.._.._......_.._.._................_...._.._. <br />Service Box <br />No. hours Labor............................ ................. Cost. ............................................. <br />Cutin....................Pavement.................... X ....... _...... ........ .....................Sq. Ft. <br />.X.......... .......... <br />..P..•.............X................ .._... ......._............ <br />................... x............... ........ <br />................................ ...... _........... <br />OrderReceived ...................... ...................................../.j........... ... <br />\Vork Completed.l..."_2..-. ?. ..........r, G ............... <br />Foreman <br />