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w, D. ru.. o - 1 <br />CITY OF EVERETT--Water Dept. <br />Apphcation-3p, <br />�lo..L............._....J Date .......... ................ ........... ........... 19....-- <br />II....}.._..... inch water service pipe <br />For "... �l�....... ';�/t:7..2 .............................. <br />On�7..�:...?...... l=l•............._.....................-_....... Street <br />Lot............................................................. Block No ................................ <br />Addition.......................................................................................................... <br />Remar)s <br />Superintendent <br />LABOR AND MATERIAL USED <br />No. <br />..................................................... Lead Connection Complete <br />_.................. ...........................I Saddle Complete <br />Service Cock <br />Service Box <br />No. Hours Labor.............................................. Cost. ...................... _.._................. ...... <br />Cutin....................Pavement.................... X........................ .......................Sq. Ft. <br />.................. ..X.- ............. ....... .. <br />Total ........................Sq. Ft. <br />OrderReceived................................................................. <br />WorkCompleted.............................................................. <br />Foreman <br />