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�{ S 2 .3 _� v <br />CJTY OF EVERETT--Water Dept. <br />PAR 1 702 <br />App4eaLien No/.l.� ''.:;� .. Date................................................ 19...... <br />Install <br />l..............................inch water service pipe <br />oe- <br />For...G �:-... _........�/` sL pC.. ...............................................Street <br />On..........!/..:.'...:.F.. 1..................................................... <br />Lot. ................ ............................... Block No ............................ _..... _ <br />Addition..................... -....................................... ............................... -........... <br />Remarks...-.........................._......................................_.._......_..._................ <br />.... ..... .--- .......................................... <br />Superintendent <br />LABOR AND MATERIAL, USED <br />Lead Connection Complete <br />Saddle Compete <br />Service Cock <br />.......... ....... Service Box <br />Nu, Hours Labor ...........................-................. -............................................. - <br />Cutm....................Pavement.......................................... ........................Sq. Ft. <br />C�PPe r................... X........... ..... .... ..................... <br />.................... x.......... I........... <br />%................ ... x........................ <br />Total ....................... Sq. Ft. <br />Remarks............................................................................................................ <br />. <br />Order Received ............... . ......................... <br />..........................................� <br />WorkCompleted........................................................................................ <br />Foreman <br />