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MW <br /> CITY OF EVERETT--Water Dept. <br /> Application No./.. `3... Date......................1.....1961...........18...... <br /> �n�stalll..............................inch„water service pipe <br /> For� yc<<P✓r.� �tA..�...�.✓��.11 .1.�..........................._..... <br /> On .... /.. 4....•...'elrara., •5.. ........................................... Street <br /> Lot.....Z.� . ......'M....�0.._� ' ... Block No................................ <br /> Addition ......................................._............................................_................... <br /> Remarks ......................_........_...................................._.......__................ <br /> ......................... ................................................................................._......__. <br /> .................................. ..... <br /> .......... <br /> .... _.......... ............_._..._._..... <br /> yPW E <br /> .............. <br /> ................ r............._............................................ _ ... <br /> �¢ . ..... . ..:r.. !. ................................................................... <br /> Superintendent <br /> LABOR AND MATERIAL USED <br /> No. Size <br /> .... ..._.._....___......I.................. Lead Connection Complete <br /> ................._................................ Saddle Complete <br /> ......It.._._.................... ........................................._....._...............Pipe <br /> .............._............I....................... Service Cock <br /> .._..................... ........................... Service Box <br /> No. Hours Lsbor.............................................Cost..._.._......................................... <br /> CulIn..................Pavement...................X......._............... ......._.............Sq.Ft. <br /> ....................X............ ......_.............. <br /> ....................X......._............... <br /> ....................X........................ .. <br /> Total ._...................sq.Fl. <br /> Remarks......... ........................... .. .............._.................................................. <br /> OrderReceived......... __.............................................................._... ........ <br /> WorkCompleted. .......... _........ ...... .........__..._ ..... ......... ................... <br /> Foreman <br /> it <br />