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W D. F.,,. I <br />/,092 3 <br />CITY OF EVERETT--Water Dept. <br />Application No.... . .................. . ........................ <br />Install ...... ... .2/ .................. inch water service pipe <br />17or................. i ....... (. ............................. <br />On ..... 77 . I/ , * <br />.... .. �:� ...... . . ............................ . ........... Street <br />Tf ------------- Block No..................................... <br />Addition................................................................ . ................................ <br />" I <br />Remarks .......... �. u ­0 ...... ............ .......... .......... <br />........................................................... <br />­ ............................................ <br />. ..... ....... <br />................................... . ........ Z ..... <br />Su in endcnt <br />LABO AND MATERIAL USED <br />Lead Connection Complete <br />....... Saddle Complete <br />...................................................................... Pipe <br />Service Cock <br />Service Box <br />.............. <br />........... <br />No. Hours Labor .................................... ......... Cost ................................................... <br />Cutin ... .. ........ .... Pavement .................... X ............... ........ ..... — ............. .. Sq. Ft. <br />... ............... x ........................ ........................ <br />........ .......... x ........................ ........................ <br />............... x ........................ ........................ <br />Order Received ...................................................... 1� .,0. X <br />�WorComplete /­/nS.a o Av, <br />*;o <br />Foreman <br />