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w. o. rowN a <br /> CITY OF//EVERETT--Water Dept. <br /> Application No....�.k:. .� Date........_ '..::.%........................19 :� <br /> Install...............................inch water service pipe <br /> For ..........._......»................... <br /> ..... y.. r. _.................................................. Street <br /> Lot..............................._....._.._...._.._.._. <br /> Block No.............._............... <br /> Addition ..................................................................................._........__......_. <br /> -Remarks ......_................._........._.....r.........._....... <br /> ............................................._.............................._............_............................ <br /> .........._.................__............................................. <br /> .............................................. Superintendent <br /> LABOR AND MATERIAL USED <br /> No. Size — <br /> ... _.._........ <br /> .......................... Lead Connection Complete <br /> .........._............. Saddle Complete <br /> ......._.._.._..__-.... <br /> ......_.... Service Cock <br /> ....._..».._... .............»....»..». Service Box <br /> ....»..»..». <br /> No. Hours Labor.......................».....»...........Cost.._..................... <br /> .»....._..»...»...._ <br /> .....»_.. ._..»...Sq. <br /> Cut in....................Pavement............. <br /> »..X ..........._..».._. Ft. <br /> N <br /> ...........X................... .................... <br /> N <br /> .......... <br /> N <br /> Total ........................Sq.Ft. <br /> . <br /> . . . <br /> Remarks................................................ <br /> ....... . .......... ..... ............................... <br /> . <br /> ........................................................................................................... <br /> ......................................._......................................................__........ <br /> OrderReceived........................................................................ <br /> Work Completed............................................... eman <br /> _r. <br />