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CITY OF EVERETD,Water Dept. <br /> Application No...A..6.41 Date.........:� ......./..... ................. <br /> Install............................Inch water service pipe <br /> For ................................................................................................................ <br /> On —.....y/S.,........aIA- <br /> ... ................................................ Street <br /> Lot............................................................. Block No.............................. <br /> Addition ........................................................................................................ <br /> Remarks ............................................................................................... <br /> ........................................... <br /> ............................................................................ <br /> .............:?k...... ........................................................................ <br /> ............?........!��......... ............................................ ................................. <br /> Superintendec.' <br /> LAINOR AND MATERIAL USED <br /> No. Size <br /> ....................... ........................ Lead Connection Complete <br /> ..._..».I...._........._......................_. Saddle Complete <br /> .............._......St._......_..._...........I .....................................................................Pipe <br /> .................................................. Service Cock <br /> .................._.......................I......_. Service Box <br /> ........................................... I.................................................................. <br /> ...............—.j.......................... ............................................................................................. <br /> ...................... ............................................................................................. <br /> .......................... .................................................................................................. <br /> No. Hours Labor...................................... ------ <br /> Cut In........ . .....Pavement...................X.................. ..._.._.._...........Sq.Ft. <br /> .................. <br /> ...........».......X.........._._.._... <br /> ...............X......._......_.._.. <br /> ....................X........................ ., <br /> ........................ <br /> Tot,l ....--...............Sq.Ft. <br /> Remarks..................... —..... ...... . . . . . ... .. ......................... <br /> ................................. -....... ...........I........ ..........---. ......I............................... <br /> ......................................................................................................................... <br /> OrderReceived........................................................................................... <br /> WorkCompleted.................................................................................... —.. <br /> Foram/n <br />