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/ 19 13 <br />w. o. ropm 3 <br />CITY OF EVERETT--Water Dept. <br />Application NQ/. Date ........... ............... 19.4/nY ..... <br />Install.... ....... . inch water service pipe <br />For............................ <br />On ...... ......... R1 <br />h:� ......................... ........................... Street <br />BlockNo..--- ...........................-•- <br />Addition.......................................................................................................... <br />Remarks ......... .. . ...... ... .. ....... <br />z......... .......................................................................... <br />AND MATERIAL USED <br />................._...................................I Lead Connection Complete <br />P' /'* ... * ... * ...... Saddle Complete <br />............... - t . ........................ ......... <br />Service Cock <br />............... .. ........................ <br />I. .. ............. ..... .. Service Box <br />No. Hours Labor ............................................. .U05L ....... . ...... . ................................... <br />Cutin .................... Pavement ................... X ....... . ............. ........................ Sq. Ft. <br />.................... X........ _.............. <br />....... . ....... ....... <br />.......... X .............. ......... ........................ " <br />Total ........................ Sq. Ft. <br />OrderReceived .................................... ... ................... ..................... <br />WorkCompleted ............ ............ .. ........ .. ........ ...... : ....... ..................... <br />Foreman <br />