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CITY OF EVERETT--Water Dept. <br />Application No...`_...!.r..Da! ....i<: /f ._....................19... <br />j __„f _ tnch water service pipe <br />/ / <br />nst <br />For...... .r... �_ .. .�:..:...... f.................................. <br />On ...........:JF.._....k .f/: ..::.t.C/f�._::............ _....... Street <br />..:5........... let_ ................... .._... Block No.......e a..........._---- ._ <br />Addition...................................... .......................................... ................. _ <br />remarks_....__..._.._...._......_......_.....�...._..__...__..._... <br />4.............._........... ..... ...... _:"..._ ...... -� _t__. <br />r v / u mtea nt <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />...:;.:,f:.?....:'�.:_...... _.._............_...._......._._...Pipe <br />Service Cock <br />Service Box <br />No. Hours Labor .............................................. .................................................... <br />Cutin ........ ........... Pavement ........ ....... ... X ........ _..... ....... ........... _........... Sq. Ft. <br />n <br />fl Jij.�........ ... ....... X.................... .. <br />n <br />........ .......... X....................... ........................ .. <br />Total ........................Sq. Ft. <br />................ ................. _... <br />........... <br />....o-.�x:.11.':: ......_..................................._.........._..__. <br />Order Received ............... _................................ ..._............ ..._....... .------ _....... <br />/.. <br />Rork Complcted_..r..�....:.1..:1..................... Foreman <br />:,.�a..._............ <br />Foreman <br />