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S J . Pri,bl 4� 7-4b, 11 <br />9,508 - <br />CITY OF' EVERETT--Water Dept. <br />Application No ........ <br />...... .. Date ......................... <br />............ 0 ......... <br />Install .......... .. <br />For ........... ........ ...... ....... . ... .... inch water service pipe <br />On . ........ fT <br />.. <br />............ ! ...... ........ Street <br />Block No <br />Addition ....... <br />Remarks ....... <br />................ ......... .................................. ............................... <br />..................... _71. <br />LABOR AND MATERIAL TJSED <br />No. I ..0 I <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />No. Hours Labor ..............................................Cost............ <br />Cut in ... . . .... ..... Pavement .................... X <br />Total <br />Superintendent , ,,*'-,* *'-**, <br />........... <br />........... .. * ......... <br />...... .... <br />.......................Sq. Ft. <br />. . ............ ...... .............. ......... ......... . ........... . . ... . I . . ..... <br />.......... — ............. <br />Order Received ........... <br />I'Jork Completed,..'r. ...... <br />... ..................... .................... <br />Foreman <br />