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o. rorr e / <br />CITY OF EVERETT -Water Dept. <br />Application No/...61-21(.. Date......1.-...�: <br />Install ..._.../._:' inch water service <br />[� ............ pipe <br />For <br />:............................. <br />On L r�:.y I •<<cf l��Street <br />............. <br />Lot.......... ...6................ Block No ............ «.............. <br />Addition......././..................................................•............................................. <br />Remarks <br />............. .................... <br />LABOR AND hIATERIAL USED <br />Lead Connection Complete <br />Sad }e Complete <br />.. y11cJ. �'•%:L........................ <br />................. Pipe <br />Serv)C ock <br />Service Box <br />No. Hours Labor........................... _................. cost ........... ..... ....... <br />Cutin .................... Pavement ................ .X........................ ..............Sq. Ft. <br />.................... ........... .... I...... n <br />�/`•' .�j[�................... X..................... .. ........ ..... ........ <br />u <br />.................... X....... ....... I........ ............. ........... <br />Total <br />Ft. <br />... ................. ....p..............�....�-a.�m...r.�'uis.....,,..................................... <br />...................... C......... »zt..w........... ........ ......................... _........ <br />OrderReceived....................................................... <br />Work Completed— X.:,/1�..-C•..5...............�✓�i��, za..:....._........ <br />Foreman <br />