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CITY OF EVERETT--Water Dept. <br />Application No./ I .... Date ................... .......... <br />install ....... ..............inch water service pipe <br />For ....... <br />S <br />On....... 77772/ .................................... . ...treet <br />Lot........... ..... ............................ ............... Block No ......... .. — ----------------- <br />Addition........... I ............................ ................ ................. . ........ ... <br />. <br />Remarks ..... .......... <br />..... .................. . .................................... . ...... . ... <br />AND MATERIAL USED <br />,—Leadc_onncction Complete <br />I Saddle Complete <br />--- ------------ . ...........................Pipe <br />Servic ck <br />Service Box <br />No. Hours Labor ............................. <br />Cut in ................_..pavement_........ <br />ec.c <br />M� <br />Sq. Ft. <br />K_ ....... <br />.. ­­ ......... <br />yL .. ... ................ <br />............ <br />X........................ ........ <br />. <br />X........................ <br />Sq. Ft. <br />Total .....................Sq. <br />........... ..... <br />;Re:mZa;r;;77 ...... . ........ ...... <br />............................... <br />................... ................... ......... <br />........................ ...... ........ ... . ... <br />Order Received............ .. ........ ­* ....... <br />NVork Completed... Foreman <br />