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w. o. roaw a <br /> CITY OF EVERETT1 Water Dept. <br /> MAR 1 1962 <br /> Appiicettotr No.................. <br /> Date................................................19...... <br /> ns inch water se.vice pipe <br /> �' au....... ........... .... 7..a�.x:41........ <br /> . ........... <br /> For <br /> h _ .. Street <br /> On ......rte � �..�t.!...........»........._............................. .............._. <br /> ......... . <br /> Lot............................................_................ <br /> Block No..............._.... . _... <br /> Addition .................................. <br /> ................................................. <br /> ...................... <br /> Remarks ......._.......................... <br /> ..............................................................I.............. <br /> ..............................I............................................. <br /> ......._...................................................._......_........ <br /> .... .........._................................ <br /> -'••'"""""" ........ Superintendentt <br /> .............................................. <br /> LABOR AND MATERIAL. USED <br /> No. Size <br /> Lead Connection Complete <br /> ......................»..»..»..»............I... Saddle Complete ..Pipe <br /> ..........».._................. Service Cock <br /> ......... Service Box <br /> No, Hours Labor........................I.....................Cost........_................................. <br /> . <br /> ..... ...»......_.._.......IN.Ft. <br /> Cutin..._...............Pavement...................X...... ._......»... .....»..»... .. <br /> .................... .. <br /> ............. ....X...........».......... ........................ <br /> Total ..._...................Sq.Fl. <br /> . . . .......................................................... ... <br /> Remarks.......................... ................. . <br /> ...... Received................ . . • <br /> Orderer <br /> .. .. . <br /> ..... ....................................... ........ .. ....� <br /> Work Completed........................................... __ Foreman <br />