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CITY OF EVERETT--Water Dept. <br />Application Nol.' o. 'U.... Date .......... .G <br />........... �..- �...........19...... <br />Install ...............................inch water service pip^ <br />For.................... .......... <br />On ... ........ � / L tic` ................................... Street <br />Lot........... _................ .................... ......... Block No ........ ................... _....... <br />Addition................... ............ ... _.............................................. ..................... <br />lit -marks ........... ........... _...... _......... <br />..............................................% ....... . ), <br />Kq-i,,.c1'ILC <br />............................................................. _......__............................... <br />..................... <br />Superintendent <br />No. <br />LABOR AND MATERIAL <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />...Pipe <br />No. Hours Labor ... ................. .......................... cost ............... _.......... _....................... <br />Cutin ....... ............. Pavement ........... ......... ....... _.......... _... ....... _...... _....... Sq. Ft. <br />............ X.......... .......... �. <br />.....X................. _..... <br />Total ........................Sq. Ft. <br />Order Received ...................................... <br />Work Comnleted................................... <br />