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76 3 l --�zf�5 <br />CITY OF EVERETT--Water Dept. <br />Application No...... � &. 3. <br />For <br />On <br />No. <br />service pipe <br />Street <br />Block <br />LABOR AND MATERIAL U5ED <br />Lead Connection Complete <br />Saddle Complete <br />........................I <br />Service Cock <br />Service Box <br />No. Hours Labor ........................................... _.t;osL.._...... _....................................... <br />Cutin ...... .............. Pavement ........... _... .X........ ............... ....... ................ Sq. Ft. <br />;3 <br />.X................... _... <br />Total .......................Sq. Ft. <br />Order Peceived............... _................ <br />................ <br />.................... <br />...... ...... <br />............... <br />WorkCompleted.. ..... . ......... ...... ............................. ......... ... ..o:re........ <br />Forema <br />