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W. D. rnam a <br /> CITY OF EVERETT--Water Dept. <br /> Application No... Date......... ...... .�.........................19.6:.. <br /> Install............ .. ....... . .. .inch water service pipe <br /> / .Street <br /> For ....'../............_.......... <br /> On ....7f� 7� —_..-. ...:'..:�.............................__....._......_....... <br /> Lot................................._...............__...... Block No..........__.................... <br /> Addition .......................................................................................................... <br /> Remarks ................................................................._._........-.................. <br /> ............................................................_......_...........................I....._................. <br /> ..................._.._... .......................................................... <br /> .................................... Superintendent <br /> LABOR AND MATERIAL USED <br /> No. Site <br /> ............._.._.._..__........................ Lead Connection Complete <br /> ............._._.._.._.._.................... Saddle Complete <br /> St._........................ .................................................. <br /> .._......_.._..Pipe <br /> ......_......_........................ .........._. Service Cock <br /> .._.._.............._....................I........ Service Box <br /> No. Hours Labor..........................._.................Cost......................._......_............... <br /> Cutin...................Pavement..............__..X....................._ ....................Sq.Ft. <br /> _X..._.._.._.._.._... ..._.._.._.__..... " <br /> _.X..........._........... " <br /> ..Y......................... ........................ " <br /> Total .................. .....Sq.Ft. <br /> Remarks..................................................... ............................ ......................... <br /> ............................................................................................................................. <br /> ......................................................................................................................... <br /> OrderReceived.............................................................................................. <br /> \Fork Completed................ Xra.n.......................................................... <br />