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.. roRM3 <br /> CITY OF EVERET71'—Water Dept. <br /> Application Date.... .................19...... <br /> ....inch water service pipe <br /> For ..................................... <br /> ...... ..... Street <br /> Lot............................................................. Block No........_.._.............._....... <br /> Addition ................ ...tc... "",....... <br /> Remarlu, ........................................................................................................ <br /> ............. .. ................................................................................................-- <br /> .........I............................................................................................................ <br /> .. .............................................................. <br /> .1..,..../......_.........._..... <br /> ..................... . <br /> ...................................................... "oo <br /> uprrintend;�nt-- <br /> LABOR AND MATERIAL USED <br /> No. Size I <br /> ........................... Lead Connection Complete <br /> .......... .......................... Saddle Complete <br /> .....................St...................._..... . ...............................................................Pipe <br /> ND <br /> ................. .......I...............4. ................................................................................................. <br /> ............................................. ................................................................................................. <br /> .......................................... .................................................................................................. <br /> ............-A.......................... ................................................................................................ <br /> No. Hours Labor............................................Cost......................................... <br /> Cutin....................Pavement...................X........................ ......._.._...........Sq.Ft. <br /> ....................X..._.._.._.._....... ..................... <br /> ...........I........x........................ ....................... <br /> x........................ ........................ <br /> Total .................__...Sq.Ft. <br /> Remarks........_..........._........_ .... ..... . ............... . . ....... .. ......... ...... .. <br /> ............— . . I I.".. . I .............................................. .... .......................... . <br /> ................ .......... ...................................................... ....................................... <br /> OrderReceived.._ ..... ...... . .......... ....... ......... . .... . ......... <br /> Work Completed..._.._.... ....... Fore- - , .rn.a.n.... <br />