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S J. Piieia/H7-16293%5 JS — <br />W. U. Form J i// O 2 8 <br />CITY OF EVERETT--Water Dept. <br />Application No..../1 Q.>4.... <br />For <br />On <br />service pipe <br />Street <br />Lot............................................................. Block No ........ .......................... _ <br />Addition ...............................................' j ...........:............ ._............ <br />..»..... <br />Remarks ......... xrx'il �-s� y............... <br />a <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />No. Hours Labor.............................................. a.os1................... ............... ... ............ <br />Cutin....................Pavement.................... X........................ ....................Sq. Ft. <br />.................... X............... ........ <br />Total ........................Sq. Ft. <br />Order Received .......y�j............��fj.. }. .Q .. <br />Work Completed./......`..��14. .`7 F-• .... � ..... .... .�.. / <br />Foreman <br />