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W, 1). Form I a 19 9 <br />4r COPM <br />CITY OF EVERETT,-Nater Dept. <br />Application No . ..... -- <br />sate <br />1 1 A -inch water service pipe <br />On ..... A24,/.,� <br />Lot Block No.....__... <br />..... ..... ------ ...._...._Block ..... <br />Addition . . ..... ....... <br />Remarks ... . ..... <br />....... ...... <br />On <br />or Addition <br />Remark <br />s n s <br />... ..... ... . <br />.... .. .... ........ <br />... ........ . <br />LABOR AND MATERIAL USED <br />o.. si= <br />I-radConnection Completc <br />Saddle Complete <br />6-0 ft. lt�,Joock Pipe <br />.... ....... <br />Service Box <br />0'.q <br />J'. <br />70 <br />cost <br />Na. Hours Labor /a V ....... ........... .... <br />Cutin.._... . ....... .... .. .... .. . ... ...... .... ..... Ft. <br />I--X—-. - " .­­ ........... <br />X..... .......... ........ .. . .. .... . <br />X.. ­­ .. ...... I .. .1 " <br />Total --..—_.Sq. Ft. <br />Remarks <br />Order Received . ... . .... <br />Work Completed <br />