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W. D. Form <br />327le - ra <br />CITTO EVERETT--Water, Dept. <br />Application No......._....__........ Datc ......... . .................... ... 19 ........ <br />Install........_ :.........-inch water service pipe <br />!...........:.............Street <br />Nc.... .......... :_ _­ ................ <br />..................... . <br />.................................. ................. ........................... .... <br />Superinte.ndent <br />el <br />LABOR AND MATERIAL USED <br />........................ Lead Connection Complete <br />Saddle Comr1cle <br />!P . . ............:..........................Pipe <br />........ ft...........,;.k ......... <br />Scrvicc ock <br />erN cc BOX <br />........... ........................ ........... a . . . . . ........... <br />...... ......... ..... . <br />....... . ........................... <br />...... ...... ......-..I.. ..... &.1", <br />........... .. k- "............................................................ <br />'­'­­.....*.......*"*.......... <br />---- - ........................ ...... .......................................... ........................................ <br />• No, Hours Labor ........................................ �.11e1 ............... ............................................. <br />Cutin ........................ Pavement- ................... X ....... .................. ........................Sq. Ft. <br />- .................. x ................. ........ ........................ <br />................... .x ...... ........ ...... .. ........................ <br />.................... x .................. ....... <br />Total ........................ Sq. Ft. <br />Remarks........................... ...... .......... .......................... ........... <br />................................... ....................................... .. . ..................... .............. <br />OrderReceived ............... ............................... * ....... 1 ............................... .......... <br />Work Completed ............. ................................... ­­ .......... * ...... ** ...... <br />Foreman <br />