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w'� a . g --Water Dept. <br />CITY OF EVERETT <br />,�yD ate.....,.-�:..... ............ -• <br />y... ......... <br />Application No........... . in water service pipe <br />fr, <br />. '� ......... <br />For Install...... ��(,...., treet <br />fit'—,.. <br />On .......................�.. Block No............... <br />................ <br />......................... <br />Lot..ition ............ <br />Addition ................................ <br />Remarks ..................... ..... <br />........ <br />.. �.......r .._....._........... <br />.b:F.......... .... �� e*7 ::�:.................. <br />r................ <br />-•. ............ Superintendent <br />f�] <br />----- <br />MATERIAL USED <br />LABOR Alvu - -- —, <br />N_ 0= S�--I <br />.... Lead Connection Complete <br />.. Saddle Complete <br />...............P.... <br />1..ipe <br />.. . <br />......................St............................ ................... . <br />...................................................... Service Cock <br />Service ox....._......_................... <br />.................................. _....... ...... <br />Cost.................... .................... <br />No. llaurs Labor ............................................-. Sq. Ft. <br />Cut in......pavmiunt..........X................. <br />....................X........................ .� <br />................... Y........................ <br />Total Ft. <br />/ .... at=y�-......................................................... <br />Remark/;- <br />.............. ........................... <br />........................................... <br />Order Received ........... ........... ........................... .... <br />[........................... <br />... <br />Work Comp <br />Foreman <br />