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PRI[B[�3 788 �7, <br />h. O. IBRM <br />CITY OF EVERETT--Water Dept. <br />Application Noj. j.:7.y.8.... Date ........ M..E..... !.................19...... <br />Install ,.............................. .inch water service pipe <br />For .... ...... Z:AkfiG .Zt .................."'_ <br />........._....... Street <br />On ....... /�.........................._" :....--................. ....... <br />Lot............................................. _...... _....... Block No ............................ _....... <br />Addition <br />Remarks <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />Service Cod"* <br />Service Box <br />Superintendent <br />No. Hours Labor... ..................... ... .. ...... ...... Uost ....................... - ........................... <br />Cutin....................Pavement.................... X.................... .... ........................Sq. Ft. <br />....................X........................ .. <br />........................ <br />;;,uz 110I—a ?I <br />Total ........... ........ ._.Sq. Ft. <br />Remarks............................................................................................................ <br />'.l_.......L�1i.:l.<t.:.......-........So�fl?......�� RY.%...✓..�.._u`.%Y <br />OrderReceived.. ........... ...... .... ....... . ..... ....... ......... ... ..... . .... <br />WorkCompleted .............. ........ ....... _...._.__............_............._........_._. <br />Foreman <br />