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M'. O. foPM <br />CITY OF EVERETT--Water Dept. <br />Application Ao.....1..Z......p..% ate... / <br />Install..._ �.�..`. r .....nch water service,pipe <br />c/ :... For .._........../✓%:.............. (....._...-....... t.:................:.................... <br />On................cT.1 ...':.................................J.�.. Street <br />Lot... <br />Addition ............... <br />Remarks ............... <br />/ , <br />LABOR AND MATERIAL USED <br />No. Size I <br />_... ......._................................... Lead Connection Complete <br />............... _.._ ..... ............_............. Saddle Complete <br />.............. .7St. _..r�..l(.,/............. .....�,lg :.e..+.... ....... _ ........................... Pipe <br />......................�...........i./_c.�........ Servic C ck <br />----�-----.................. Service Box <br />No. Hours Labor ... _......................................... Cost ........... ............... _....................... <br />Cutin....................Pavement.................... X........................ ........................ Sq. Ft. <br />.... ....... - ....... ...... I.._ ............. <br />.................... X..,............ ........ <br />..... X........................ ............... ........................ <br />Total ........................Sq. Ft. <br />Foreman <br />