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. /�SO� - - -- �� <br />M. P. IO11M ] �,� <br />CITY OF EVERETT--Water Dept. <br />Application No1..C_S.�.C:.... Date.....:..'�..:-.:� ............................19.�.::: <br />Install ...............................inch water service pipe <br />For............................. :................................:............................................... ... <br />�— i <br />. <br />On .._�.�.�.�........: .r..�:.,.�.,:.::_Z...::..:.. �..�.:�m ...::.................... Stre�t <br />�:.. <br />Lot.............................................................. Block No..................................... <br />A�lilition .......................................................................................................... <br />Remarks.......................................................................................................... <br />.....__ .......................... ....- - -- _ _ <br />Superinlendent <br />LAB�JN AND MATERIAL iJSED <br />......................................................I Lead Connection ComPlete <br />...................................................... Saddlc ComPletc <br />.......................tt............................ ........................................................................Pipe <br />..................................................... Servicc Cock <br />._._-----------....._ ..................._.... Service Soz . <br />No. Hours L�bor ..............................................Cost.................................................... <br />Cutin ....................Pavemenl....................X........................ ........................59. Ft. <br />....................X........................ ,� <br />........................ <br />...._......_......X ........................ ��,... <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />----' ---- <br />Remarks................................_ _..... _............. _......_. _...... ..............................._. <br />OrderReceived ............................................................................................... <br />\Vork Complcted ............................................................_.........................._. / <br />Foreman <br />