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s.,. ri.be �rrrr •/ � z <br />CITY OF EVERETT--Water Dept. <br />Application No------- ----- Date -------- ----19:' <br />Install ....:.. ..... .. ..inch water service pipe <br />Ott ...... '---- '--- --------- ---- Street <br />Lot ....... /--- -- Block Nc...,.' ' ------------- <br />Addition...... ------------- --------------------------- *---- <br />Remarks __:_..- ----- '= <br />fn 3 j--------------------- . •---- <br />Ch ah-. e- <br />----------- - -- ------ - I ----------- <br />lod <br />LABOR AND MATERIAL UJED <br />Lead Connection Complete <br />p ` s <br />Saddle Complete <br />3 - -- —------- - --- -----------Pipe <br />-.•-•-.._ ,/ _. Service oc------------------------------ <br />------�'-------- -----�'--�---- c iDo <br />3 ------------------------ --- <br />-- , <br />No. Hours Labor ------------- .-------- Cost -------------- .----------- . _.____-._ <br />Cut in ........ .... Pavement- X -------------- .__.--------- Sq. Ft. <br />x-------------- __-..-_.-____- <br />✓" _._. __..__..X ------------- ____---------- <br />„ <br />./0 ------------ X-------------- _______________ <br />Total -------------Sq. Ft. <br />Remarks.. _ _ _________ <br />- <br />Order Received ------------------------------------------------ <br />Work Completed --------------------------------------- <br />Foreman <br />