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CITY OF EVERETT--Water Dept. <br />1-5Zr_::� <br />Application No. ..... at/ t <br />....... 19 ...... <br />........ * ..... W <br />;A, Inc water service pipe <br />For <br />. ... ... <br />............ * ........... <br />On .............. . . . . . . .................. ................... ..................... . ....... Street <br />5�.* ----- �% <br />Lot.............. Block No .......... . ...................... <br />Addition <br />Remarks ........... <br />f <br />LABOR AND MATERIAL TTS�ED <br />-No. Size <br />...................................................... Lead Connection Complete <br />........................... ...... Saddle Complete <br />...... :.� .....ft.......::.:....... .......... ........... I .. I <br />................................ .......................... Pipe <br />.................... ............. Service Cock <br />.................... ......... I Service Box <br />No. hours Labor ........................... . ................. cost ........................... . .................. <br />Cutin ....................Pavement.................... X ............. . ......... ....... ................ Sq. Ft. <br />.................... X ............. . ....... I . .... ................ <br />1. <br />........... ...... X ........................ ....... ................ <br />.................... X .......... I ......... I ... ........................ <br />Total ........................Sq. Ft. <br />Remarks-_ ......... ....... '.Z .. .... e <br />------ <br />.. ...................................... 'e <br />....................... ........... <br />.................................................. .......................................................... <br />Order Received <br />Work Completed,"., , ............ <br />Forc'mln� <br />