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TY OF EVERETT---Water Dept. <br />Application No. p. VL7... pate,. 2_..�1 <br />ry.IInsytall.... .../JJ�7 p inch iVr y .. <br />For...... '1 .. ........ <br />On ..... .�_T o — ♦►e "....... Street <br />Lot ................... `'� .1 _ Block No..., _._ q <br />Addition...................... ........................ .......... .... .... .............. �.............._..-........_....__._ <br />Remarks.................................................................. _....... ......... <br />....... ........... ..... ..._....._._.... _ . _........ <br />........... ........... ......a'.. ...- ?__. ............. <br />• <br />LABOR AND MATERIAL USED <br />No. <br />ISize <br />........../.................. <br />a <br />Y� t.a ... <br />Lead Connection Complete <br />....._.._.-..-. <br />. ........3......_ <br />._.. ... '_....... ... <br />rt. _'r ..._. <br />Saddle Complete <br />.._._ . . .................................Pipe <br />.......... /...... :.._ <br />.......... /............ <br />3, <br />... z.......... <br />. aL...G'f..6. <br />Service Cock <br />. Box - <br />''r.:::............ <br />.t�U/P Garr..t�.............................................. ........_.... ........ <br />?............_ <br />e'A` <br />�F..-If"IVI <br />a :............ <br />_...._ .. <br />.. <br />''> <br />........................ <br />.......p.................. ..................._...... <br />..........; ............ <br />v'%'f -. <br />.....___ <br />3Lr�.v✓i(C�. <br />No. Hours Labor............ I ........................ Cost..k...-........................................... <br />..... <br />Cutin......:...................Pavement.................... X....... __........... ....................Sq. Ft. <br />.................... R........................ .................... <br />.................... X.............. ....... I.. .................... <br />....................X ....................... .................... <br />Total ....................Sq. Ft. <br />RemarksMatcrial i!ip Na.45P�f�{�S 9 ii1' . ......... .. <br />_ <br />Order Received <br />Work Completed <br />Fm an C / <br />