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si1�3,;f 'a7 <br />CIT OF EVERETT--Water Dept. <br />AppbcadonNor_.__..-___ Date <br />J Install./.-.%y ....inch water service pipe <br />For .-_�/•,.I'��----------•--- <br />On--- - ---• - 1 C. .T,z,r ----------------- street <br />Lot............................ Block No ....................... <br />Addition ....... <br />Remarks ----- ...... ----------•- -------••-- <br />......................... ............................ <br />............. -------."_.._-.----_-- <br />LABOR AND MA <br />No. <br />Size <br />...... <br />...... ___------I <br />Lead Connection Complete <br />------------- __ <br />._..._.-C1... ft. <br />______________ <br />Z_____.__ <br />..../ <br />Saddle Complete <br />___l :-f:_ __ �____ ____________Pipe <br />�— _ <br />_....__._ <br />.%y"---------- <br />Service Cock <br />--------------- <br />......... <br />----- --------- <br />_ /�^...____._ <br />Service Boa <br />tSsC. �.r._7..tsvt-!___4_ .......... <br />i9-------- <br />........ <br />..... %s....... <br />C ------------ -................... ... <br />No. Hours Labor ------------------ k.. Coat. -­L�_.j.........................__. <br />Cut in ........ .--- Pavement ............ X______________ _______________ Sq. Ft. <br />............ X_____--------- <br />j------------X _____________ _______________ <br />Total ---------------Sq. Ft. <br />Remarks--------------------- ---------- ------ <br />•-------------------------------------------------------------- <br />Order Received ------------------- ----_--- / <br />Work Completed--------------- --------------------- - <br />Forman <br />