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CITY OF EVERETT--Water Dept. <br />Application No ... —�...... Date.../....�.,....�.., <br />`'�'.".........................1C ... <br />install.. /V.._..............inch water service pir a <br />For.............................p...........'�.. . <br />On ........................ ...... Street <br />Lot..................................................... /... Block No.................................... <br />Addition........................................................................................... <br />Remarks .....---.. ....... ._ ..... <br />r ..... <br />� <br />LABOR AND MATERIAL QSED <br />No. i 51ze <br />.................... Lead Connection Complete <br />........... .. Saddle Complete �'��y'^p <br />...... �.C.::`,). V.....pipe <br />......... Service Cock <br />_........ ......... Service Box <br />No, Hours Labor............... ............................... Cort. .............................. .................... <br />Catin ......... .......... Pave:acnt_................. X............... .... ._ ._................... Sq. Ft. <br />....................X..........._....... ... .. <br />................... .X--- ............... _... .. <br />........................ <br />................... .X.................... ... .. <br />........................ <br />Total ........................Sq. Ft. <br />Order received .............. ....... ..................................... <br />...._. <br />Work Completed....... (.LJ...�� 1`'...................... _ ( C �� <br />Foreman <br />