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W. o IG"N <br /> CITY OFEVERETT--Water Dept. <br /> Application No.....4.Lq Date...... '�.�L...........................19_6 <br /> Install..............._............ .inch water service pipe <br /> For ............................J....... ....»........................................................_..... <br /> On .....,.3.2 q....:....6.1......................................................_.._....... Street <br /> Lot...........................»............................... Block No.................................... <br /> Addition .........................................................................................»............... <br /> Remarks ..........................................................._...»._.._......_......_............. <br /> ............ ...►'ey.�..`."_..:."�......_...._.._.._..........._»......................_..__.� <br /> . . <br /> _ t. <br /> ......... z-......................................................................... <br /> 6 - �2 5 -7C <br /> ........................................................_.._.............._............................................... <br /> Superintendent <br /> LABOR AND MATERIAL USED <br /> No. Size <br /> ......................................... Lead Connection Complete <br /> ....................._. ......................... Saddle Complete <br /> ................._Jt......................... ................................._............................Pipe <br /> .............._................................... Service Cock <br /> .._................_... ......._.......I.._..... Service Box <br /> No. Hours Labor.......................»................._.Cat...»__._.._»._.»..___.........._....... <br /> CutIn....................Pavement..............._.X........._.......... ........_...........sq.Ft. <br /> .................... ................... ......_............ " <br /> .. ...........X.................._. <br /> ............X......._.............. ...................... " <br /> Total ........................Sq.Ft. <br /> ems= <br /> Remarks........................................... .................... ... .... .. .............................. <br /> ................. ................. ................. ........_... ................ <br /> OrderReceived.......... _........... .... . ..... ._... .............. .......... ................ . <br /> Work Completed............. ._......._. _. _... .__............_............................. <br /> . <br /> Foreman <br />