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CITY OF EVERETT— `JUater Dept. <br />e q �9 <br />Application No..__/.-3•--F-- Date.... --"_'_.---•-------I9---- <br />Install.J.". -------- ___ inch water service pipe <br />For ......... <br />i L`ti< <br />Lot.-------- -----------•----- Block No.... - <br />Addition ------ — -----------------.- <br />Remarks- Le .. --r_.,�_r v <br />.. <br />---------•------- <br />-------------------------- <br />LABOR <br />� <br />AND MATERIAL USED <br />No. Size <br />___•__--_......._ .. Lead Connection Complete <br />............... <br />............... Saddle Complete <br />.......... ..... ............... Service CAC' n <br />_______ Service Boa <br />l .. <br />....... �. <br />'-� f ................ <br />y 7 <br />-----•- ••-•.... - .- ----- ----- ---•--•----------------------- <br />_..... <br />No. Hours Labor ................... "': Co6t.T!_�/-.7--------- I .................. <br />Cut in ............ Pavement ------------ X.............. --- _---------- Sq. Ft. <br />. <br />' Total ------------- ..Sq. Ft. <br />Remarks-------------- -------------------- ----------------- <br />-------------------------- — -------------------•--- ------- ...- <br />---•................ — ------------------- --- <br />Order Received------------- —----------.---------------- ------ <br />workCompleted ------------------- ----- -- -- <br />FommM <br />No. Hours Labor ................... "': Co6t.T!_�/-.7--------- I .................. <br />Cut in ............ Pavement ------------ X.............. --- _---------- Sq. Ft. <br />. <br />' Total ------------- ..Sq. Ft. <br />Remarks-------------- -------------------- ----------------- <br />-------------------------- — -------------------•--- ------- ...- <br />---•................ — ------------------- --- <br />Order Received------------- —----------.---------------- ------ <br />workCompleted ------------------- ----- -- -- <br />FommM <br />