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W. D. IOI�M • �, / / <br />CITY OF EVERETT--`silater Dept. <br />Application No......./....l.. Date...(2::�2:i .... <br />/ `�'................ 19...... <br />stall.... 4.... inch water service pipe <br />For..........!✓f..4glXe../......fL/`..c�R::........................................ <br />On ................ 1. �I.SC... .....L l.� G< ....c1 e--L. ........... Street <br />Lot....................................................... Block No ........ ....... .................... <br />Addition...................... c.a:z:......................................................... <br />Remarks................................ ............... ............._... .........._................. <br />/ i LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />No. Hours Labor ............ ............... _................. cost ........................... _.................... ... <br />Cutin....................Pavement................... X....... ................ ........................Sq. Ft. <br />./.�.e... .................... C................... .... ............ I......... �. <br />.................... X............. ........ ........................ <br />OrderReceived...................................................... ...... ............... _.. <br />Work Complcted.J..-. a:-.L...3................... ............ ....... _.... :....... <br />