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e 6 <br />CITY OF EVERETT­Water Dept. <br />Application NoZ� zDate.... k�U_L ..... IU2 ............ 19 ...... <br />Install..............._......._...inch . water service pipe <br />For.............................. ........... . ..... <br />.. tc. 6�ei-t . ......... .... ...................................... ... .... Street <br />On........................ <br />T.nt - ---................................... Block No........_......_................... <br />Addition ................. .. ...... <br />Remarks . <br />.................................... ...... . ........... <br />.............................. <br />Superintendent <br />LABOR AND MATERIAL USED <br />Size I <br />cad Connection Complete <br />... ...... ,;addle Complete <br />ipe <br />� c;--v­i-c.e .... C- -o ... c. k. ...................................... .. <br />......... Service Box <br />No. Hours Labor .......................... . ... ............. .,UN ................ . ................................... <br />Cutin ....................Pavement.................... X ........................ ........................ Sq. Ft. <br />.................... X ........... ............ "'_' . ...... ........ <br />.................... X ......... ......... .... ...................... . <br />Total ........................Sq. Ft. <br />Remarks.... .................. ............................... .............. ..... * .......... .......... * ... — * <br />.1 ................................ ................... .............................. ........................................ <br />OrderReceived ... ........ ....... . . ....... ........ **-,* ....... ** ....... * ............ * .... *"' ::.,: <br />WorkCompleted .......................................................................... ioreman ...... �, \,n <br />