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C 1TY OF EVERETT--Water Dept. <br />%P piieat�ien No.!A 5..'7-... Date .................... <br />,Install ...............................inch water service pipe <br />For..✓......................................... <br />On........... ..............< ....................... _....... Street <br />Lot.............................................................. Block No ........ ..... ...................... <br />Addition ...........T..n <br />................................................................................... <br />Remarks..................... LA ... Y.tt,..tzv.......... ........ .:..:.. .............. ................. <br />�/.........r.�.-........................................ _ _... <br />s. .............................. . <br />Superintendent <br />LABOR AND MATERIAL. USED <br />Lead Connection Complete <br />Saddle Complete <br />...................... _ <br />Service Cock <br />Service Box <br />No. Hours Labor ............... _........................ ..... Cost. ..... ............ ....... ........ ..... ......... <br />Cutin ........... ......... Favement.................... X........ .......... .... ......................Sq. Ft. <br />...... X........... ....... ... <br />.................... X........................ ........................ <br />Total ........................Sq. Ft. <br />Remarks............................................................................................................ <br />Order Received ....................... <br />Work Completed .................... <br />Foreman <br />