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No. <br />CITY OF EVERETT--Water Dept. <br />Application No.......:I.... — ......... . Date .... ...:...:.. i............... ....... ......... IC:... <br />.............inch wzLer service pipe <br />For ..........._ .. <br />On_........ ....... .:...:.............. :........... ..... ._........ ( .............................. Street <br />Lot........... ................... ........................ ..... Block No ................ _................... <br />Addition ..... ............ <br />remarks ...J..:�.:......:....:. .. <br />r r <br />........... <br />a ( . i' <br />L��- , _, _..K. . <br />LABOR AND MATERIAL USE) <br />Lead Connection Complete <br />Saddle Complete <br />... . ........................... _............... Pipe <br />Service Cock <br />Service Box <br />No "ours Labor ........................... _................. cost .._.._........................................... <br />Cutin ........... .........Pavement ....... ............. ........................ .... ............ ....... Sq. Ft. <br />Y�n i; <br />o; _............. _. X. �r <br />'� LL. .•,i Total <br />l' <br />Retnarks.........1...::�:....h.:�_................................................................ <br />.................................................. .......................... <br />Order Received ..... ............................ ............. <br />Work Completed..Y..-_5 .:.(,3..............::.::.: <br />Forem <br />