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CITY OF EVERETT--Water Dept. <br />Application Date../ .... ............ l/ <br />�/ 1K <br />In tall .......... .. ................inch w er service pipe <br />le .... .... ..... F, ...... ......... .................... ........................... <br />On................... ... ........ ... .. ..... ......... .................. Street <br />Lot.......................................... .......... . ....... B1 No........_......_................... <br />Addition................................................... .. ...... X>'*'** .. ................................ Remarks ........... 0 ......... ...... ......... .. .................. ..... . ......... <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 ....... I ............. <br />................ ............. I ...... I ....... I .............. <br />Total ............... . ....... Sq. Ft. <br />.1 ................................................................................................................ ....... <br />............................ ................. ..................................................... . ...... . ........... <br />OrderReceived ............................. . .................. ........................ ................... <br />lVorkCompleted ............................................................................ ............... <br />Foreman <br />