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/404087 7 - <br /> D. ran. <br /> CITY OF EVERETT—Water Dept. <br /> Application No....'A'./­V. Date..... ..........................1 �/ <br /> Install...............................inch water service pipe <br /> For .......... ........... y................................................................................. <br /> On ...x- .L.'...-.....6..`,_..,.,....................................................... Street <br /> Lot.......................................................... Block No........_....__.._............... <br /> Addition ......................................................................................................... <br /> Remarks ................................................................................................ <br /> ..................................................................................................................... <br /> .................................................................................................................. <br /> ............ ............................................................................................... <br /> .................................. ....I.................................................................................. <br /> Superintendent <br /> LABOR AND MATERIAL USED <br /> No. Size <br /> .............................. Lead Connection Complete <br /> ...................................... Saddle Complete <br /> .......... <br /> _. <br /> .........ft......................... .....................................................—_...Pipe <br /> ...................... Service Cock <br /> Service Box <br /> ............. <br /> ............ <br /> .......... ......... <br /> .................................................... <br /> .... <br /> ...................... ....................... ............................................................................................... <br /> ....................................................................................... <br /> ....................... ....................... .................... <br /> ....................... ...................................................................... <br /> No. Hours Labor..........._............................... ..................... <br /> CutIn....................Pavement..............._...X......._.._.._....... ......._.._.._.......Sq.rt. <br /> ....................X........ .4................... <br /> ....................X..........._.._.._... .................... <br /> .................X..................... <br /> Total ........................Sq.R. <br /> Remarks.................. ... ........ ... ....... ..... <br /> ............. ....... .. ...... ......... ...... <br /> ...................................................................................... ..........4..................— . <br /> OrderReceived....................— ... ... ........ . ................................. <br /> WorkCompleted............. ............. .. ..... ... ...............Fo.. ........... <br /> r-a onan <br />