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9. I PRI[RL o O Z 8 ' /H <br />W. O. rORM ., 4 <br />CITY OF EVERETT--Water Dept. <br />Application No...DaLaLte...,.<.L4!1...... `.................... 19...... <br />Inst................ inch water service pipe <br />ror .......� ..... ........ .._.......:_. G1.0..:....:................................... <br />On...................-. f2_....... LF.&............ .... �}............. Street <br />Lot... _....................... Block No....d._.._._.._.._.._....... <br />Addition....................................... _............................................. ... ---------------- <br />Re-.narks <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />S ddmplete <br />..............Z.......... _............................... ipe <br />Service Cock <br />Service Box <br />No. Hours Labor............................................ -Cost ...... _.................. _...... _............... <br />Cutin....................Pavement.................... X....... _............... .............. ........ Sq.Ft. <br />.................... ................... _... .� <br />v u <br />.................... X........................ u <br />........................ <br />Total ........................Sq. Ft. <br />Remarks..........................�.,..........:�:.:.............................................. <br />Foreman <br />