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/�G93 <br /> W. a room <br /> CITY OF /EpVERETT--Water Dept. <br /> Application No...&4:../�. Date.......... L..........................19. ..`� <br /> Install..._..........................inch water service pipe <br /> . . ............. <br /> O l7 �._............................................... Street <br /> '�/ 3...... ... ..._....................................I............._.......... <br /> Lot.................................................._....... Block No.........._.................... <br /> Addition ................................................._....................................................... <br /> Remarks ..............................._......................_.._..._....._.._......___._.............. <br /> • ........_......_......_......... ...................................... <br /> .................................................... Superintendent <br /> LABOR AND MATERIAL USED <br /> No. Size <br /> •,_............. Lead Connection Complete <br /> ................... _.........._............. Saddle Complete <br /> . .St._._. ................................._...... <br /> _.........._.._.._._...Pipe <br /> ......_.............................................. Service Cock <br /> ......................... Service Sox <br /> No. Hours Labor. .................cost........_............................... <br /> FIL <br /> CutIn....................Pavement....................X..................... ......._..............Sq. <br /> ........... .. <br /> Total ........._..........._Sq.Ft. <br /> Remarks........................................ . ............ ..................................................... <br /> ........................................... ............................................................................... <br /> ......_....................... <br /> Order Received................................. <br /> WorkCompleted.........................................................................Foceme.. <br />