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� 1 <br />W.D. F'o�rin--uflo 7-.-17 C. P.:- <br />CITY -OF'EVERETT==N``at'e'r/Dept. <br />Application No. Date___��y ----- IS <br />rr <br />listall__ ------- inch water service pipe <br />For ='' `' `--' C/'\ ----- -' <br />--- <br />On- <br />Lot_ LLL� <br />- / 7 t <br />-------- ---------Block No. ---------------- <br />Addition----------------- ------ ----------------------------- <br />Remarks_L110-0- <br />VA <br />'/i/" PI � <br />LABOR AND MATERIAL USED <br />NO. SIZE <br />-------------- -- -- Lead Connection Complete <br />_______ Saddle Complete <br />------------• tL _ ------ _--- -_------Pipe <br />_________ Service Cock <br />----- Service Service Box <br />14l__ t cti ... _._?7------- -------------- <br />No. Hours Lalwr_-/yc------------- __---_.__—____________________ <br />Cuts in --------- _______Pavement ____---_-X-------------- ------------ Sq. Ft. <br />___._X______________ <br />— — ---------- ------------ -1 <br />y e Total, ------------ Sq. Pt. <br />Aa s----��/(,_e_.�_u_K <br />_--- -- ------- g5�-� <br />Order Received ____________ __ -------------' -----a <br />Work Completed ------------------------------------------ <br />