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CITY OF EVERETT--Water Dept. <br />Application No ------------- Datc._____:� �� _ e6 19.._. <br />r <br />Instal}}jj �!. - _ . _ .. i� water service pipe <br />On -------- .............. Street <br />Lot ----- --.k No.- .......... <br />Addition . ......... ..................... .... <br />Remarks ktt f_!11!✓. 4_ <br />f �-:----/y------------------- <br />ra ? <br />'oy------------ <br />LABOR AI4D MATERIAL USED <br />No. <br />Si-c <br />....... ....... <br />............... <br />• Lead Connection Complete <br />.... _.._ ------- <br />.__.----------- <br />Saddle Complete <br />............. @ <br />--------------- <br />------- ._..--- ... ---- __ __--. —.____Pipe <br />______________________________ <br />Service Cock <br />_______________ <br />......... ...... <br />_______________ <br />._........... . <br />.... ... .... .. _. <br />Service Box <br />-------------------- ..__.._.____ --- ............ .--- .__.... _ <br />....__...._...........__...___.._-_______.._.._. ............... <br />No. Hours Labor-------------- ----- --- Cost .-._e-..._------ .----- .--- ----- - <br />Cut in ............ Pavement ....... .._.. X ......... ... .......... .... Sq. Ft. <br />--__ _ X_.------------ �• <br />._.X........ <br />Total -------- ------ Sq. Ft. <br />Remarks------ -------- -------------- — ---------------- <br />--------------• ---------------------- ------ --------------- <br />Order Received-------- --- — ---------- ---- - ----- --- <br />Work Completed ------------- --------- ` <br />