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9 `�� <br />� v�9 . _ . ,� „ .,—, <br />w. o:.o.., <br />CITY OF EVERETT--Water Dept. <br />/�,•; ; • i <br />Application No..��:.'t..:..;-_.. Date....._ ..........:...%........................19.�:..' <br />lnstall ...............................inch water service pipe <br />For...............................�............................. • ........................................ <br />r�; ! �r ; L � ...... .................. Street <br />� ., . <br />On ....._ ..........::...�........�...t:.,..................:.�....:......._..::. <br />Lot.............................................................. Block No..................................... <br />:lddition <br />Remarks <br />Superintendent <br />LABOR AND MATERIAL USED <br />....._._... Lead Ccunection Complete <br />.__........ Saddlc Completc <br />............. ........................................................................Pipc <br />......_..... Scrvice Cock <br />............. Service IIox <br />No. Hours Labor ..............................................Cost.............................................--�---• <br />Cutin ................_..Pavement_..................X........................ ....._.................Sq. Ft. <br />....................X........................ �� <br />........................ <br />.................._X......._..........__. " � <br />........................ <br />....................X........................ „ <br />........................ <br />Total ........................Sq. Ft. <br />---- ---- — <br />Remarks................................................ ........_....._._.................................... _. <br />...................... ........................................................ <br />............_............ -- -....._ _ _ <br />� Order Received ......................_..................._...............__......_..._.:__.._........ <br />\4ork Campleted........_......_....._....._.__.......__............_._.._.._ ._...__. <br />Foreman <br />