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CITY OF EVERETT--Water Dept. <br /> Application No...z�.� . Date...........H.-'/..........................19ZY <br /> Install.............................. .inch water service pipe <br /> For ...............................................Z:T................ ............................................ <br /> Or ..... .............. -0................................................._... Street <br /> Lot ........................ Block No........... <br /> Addition ................................................................. ........................................ <br /> Remarks ................................................................................................. <br /> ............................................................................................................... .... <br /> ...................................................................................................................... <br /> ........................................................................... ................................ <br /> .............................................. ....................................................._...Superintendent <br /> LABOR AND MATERIAL USED <br /> NO. Size <br /> ....................... Lead Connection Complete <br /> .."I.I <br /> ......................... Saddle Complete <br /> ft. ......................................................Pipe <br /> ...... Service Cock <br /> ........................ Service Box <br /> ................... ...................... ................................................................................................ <br /> ............................................ ................................................................................................ <br /> ................. ........................ ..........................................................­­.............................. <br /> ..........................i...... ................... .................................................................................................. <br /> No. Hours Labor...........................................Cost........................................... <br /> CutIn....................Pavement....................X..................... Ft. <br /> ......I.............X...................... ...—................ <br /> ....................X....................... ....................... <br /> ....................X........................ ..............I........ <br /> Total ........................Sq.7t. <br /> Remarks......... .......................... <br /> ................................... .. . . ............. ....... <br /> ....­­... . . . ... .............................................. ........... ... ................................. <br /> ........................................................................................................... <br /> 4444 <br /> OrderReceived.................................. . .......I.....................:..14% ..... <br /> . . ..........N;.. <br /> Work Completed..._. .................... ..... -iorernan <br />