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2 w. D. t011M Y <br />CITY OF EVERETT--A'ater Dept. <br />Application No.. ... ........... _..__. Date....:!...............:i-'..._.___l9=_/ <br />Install ----- ..................... _..inch water service pipe <br />For............ ........................... ........_.__.........._..............._........_..._...._._ <br />i d'3.l_............. <br />r'L_...._._......._.._... Street <br />Lot............. .......... 1... ..................._... Block No...._„ .I..=._ ....._ <br />Addition............. ../..... .. - ......... ................_.._.. <br />Remarks <br />LABOR AND MATERIAL USED <br />.............. <br />Lead Connection Complete <br />,i........ _. <br />Saddle Complete _ <br />- <br />.. at_..... <br />........... ....... _..I......._.._ ...... .- --- pipe <br />......._. <br />Service Cock <br /><.._. <br />rj <br />_ <br />Service Box ' <br />C... u.... <br />•- ...... . <br />....... ........ ... ___:4pi'....... __... ....... ....._____.._. _..._-- <br />.......... fr.. _. _.. �j...�e...l..e.._.._._._.._.._...._ <br />No. Hours Labor <br />....... _ ........... ...... __............ Coat......._..._._.._.._._.._._....._......_ <br />Cutin .................... <br />Pavement ......._.._.._.X.... .._.._.._._.. ...................Sq. <br />Ft. <br />................. X.............. __... ........ .............. <br />.. <br />Total ........................Sq. <br />Ft. <br />... .....................------------ / <br />............... �,,c�,.,_.7r1�t...-:��t ....... ... .... <br />.._ _...._._._.._... /; <br />OrderReceived .................................. ..... ....... ._............. ................................ <br />WorkCompleted ............................. .................. ........... _................................. <br />Foreman <br />