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CIT',' OF EVERETT--Water Dept. <br />Application No Date ......�.':::...........:... 19:.? ......... <br />Install..; M:3 <br />Y..................inch water service pipe <br />For................................................................................................................ <br />�,� s _ ;J J <br />On— ........... :. -a. . .. ................. ....._........---....n:.... ...... Street <br />Lot.............................................................. Block No ........ ....... ... <br />. <br />................ <br />Addition......................................................... .......... ._ .................... <br />j <br />Remarks ................. .... .!:..:ra.c...c.c..:�._..::.... <br />.w�..._.. <br />................... <br />LABOR AND MATERIAL'USED <br />Lead Connection Complete <br />Saddle Complete <br />............... <br />.. . ... .... .. . . ....... .. . . . .. ... Pipe <br />Se44i eN Coek <br />Service Box <br />No. Hours Labor........................... _.... ............. cost ........... ........... ...... ...... ...... <br />Cutin ... ................. Pavement ............... _... X ........ ............... ........ ...... ........ Sq. Ft. <br />... ................. X........ ............ ... <br />A........................ ........................ <br />Total .......................Sq. Ft. <br />