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3 7 2 <br />W. 0. FORM <br />CITY OF EVERETT—Water Dept. <br />DEC 6 56119 ...... <br />Application No ......... : .. . ..... . �'.. jDate ...............................................19...... <br />.... .................. ..... ................ <br />Install ...........................inch water service pipe <br />For... .... . .. .. XN ......... ..... .... ................................... <br />On........... y" ....................... Street <br />Lot................................................. ........... Mock No..................................... <br />Addition.................................. ........ ....... . <br />......................................... ; ......................... <br />Remarks ....... .... ....... ...... <br />No. <br />Superintendent <br />LABOR AND MATERIAL USED <br />,,,z,d Connection Complete <br />3;uldle Complete <br />Service Cock <br />Service Box <br />No. Hours Labor ..................... * .......... ......... Cost ........................... . ...... * ......S <br />Cutin .................... Pavement .................... X ............... ........ ........... ............ q. Ft. <br />............. <br />.................... X.0 ........ <br />* ............. X ........................ ........................ <br />.................... X ........................ <br />OrderReceived ................... * ..... * ....... ** ....... * ........ * ... * .......... <br />Work Completed ................................... ** .. .... * ...... ...... * ----- <br />