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w. D. ro+r. a <br /> CITY OF EVERETT--Water Dept. <br /> i � <br /> Application No..../�./.:...... Date............1 .Z.......................19. <br /> Install........................... ...inch water service pipe <br /> For .............4 ,.......z <br /> -.................................................................. <br /> // ............. .. <br /> On ...... J'rr..Q_................................................._.... .. Street <br /> ............ . .... <br /> Lot............................................................. Block No........_» .»»».._........._ <br /> Addition ........................................................................................_............... <br /> Remarks ............. .».._...»..._.. <br /> ............................. ..................................................................................».._.» <br /> ......................................................_. .......................................................... <br /> ......................................................................................................._........._....... <br /> Superintendent <br /> LABOR AND MATLRIAL USED <br /> No. Size <br /> ............... Lead Connection Complete <br /> ...... Saddle Complete <br /> .lt. .._. ......................................................._.._._..._..Pipe <br /> .._.._......_.._......._.............._......... Service Cock <br /> ......I......_. Service Box <br /> ................— L—L <br /> No. Hours Labor.............................................cost......................._................... <br /> CutIn....................Pavement..............._..X... .............._... ..._.............Sq.Ft. <br /> ................... <br /> .X...................... ..._.._............. " <br /> X... .. <br /> Total <br /> Remarks.................................. ... _.. ..._............................. <br /> ............................................................. ..........__ ._ _.. ....,................................ <br /> ....... <br /> OrderReceived..........................................................................._Z...a. <br /> WorkCompleted......................................................................... <br /> ; r <br />