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I <br />1 5 -4 2 <br />3 <br />CITY OF EVERETT--Water Dept. <br />Application Nol_?-5_' Date...! ......... .......... Iz;;L_ <br />Install.. ............. _ -inch water service pipe <br />For........ .. .. ..... . ............. I ...................... <br />On ............. 4e7,--,,2 � ... � �e <br />.j!f� .. ........ Street <br />Lot..................... ... . ......................... Block No............_.._................_ <br />Addition...... ...... ... .............. ...... ..... /7 .... ..... 1z ...... ........................ <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />...................... ...... .... . ........ Pipe <br />Servic Cock <br />Service Box <br />No. Hours Labor ......... ........ .................. . ...... I.., .. . .. .. ................ ........... . ......... <br />Cutin ....... . . ..... Pavement .................... x .................... ... ... .... ............... Sq. Ft. <br />.. ........ x .... .................. ........ .............. .................... x ........................ ...... . ............... <br />................... x ... .................... ...... ... ..... ..... <br />I Total ........................ Sq. Ft. <br />