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CITY OF EVERETT--Water Dept. <br /> Application No.. Date...._..... .1......................19Z/ <br /> Install..._......................_..inch water service pipe <br /> For ..................................................__.................................._.................._..._ <br /> On .......... U .........f:` .. Street <br /> Lot.............................._............».............. Block No..............................._ <br /> Addition ................................................................................_...................._. <br /> Remarks ............................................................»........._......_.................. <br /> ................. .. .. <br /> rad <br /> ..................3�9 r.......Gr'!°....................................................._........._...... <br /> Superintendent <br /> LABOR AND MATERIAL USED <br /> No. Size <br /> ........................._.................. Lead Connection Complete <br /> ................................................ Saddle Complete <br /> ...................it._................... ....................................................................Pipe <br /> ......»......_..................................... Service Cock <br /> .._.._.._......_.._...............__......»_. Service Box <br /> No. Hours Labor..............................................cost......._.......................................... <br /> CutIn....................Pavement.................... ...................... ....................Sq.Ft. <br /> ........I..........X.........._...»_... <br /> ..................X.._............._... <br /> ........................ <br /> .................... ........................ ........................ <br /> Tntal .............I-- ...Sq.Ft. <br /> Remarks........................... ....... .................................... ................................. <br /> OrderReceived........................................................................................... . <br /> WorkCompleted.......................................................................................... <br /> Foreman <br /> �.r <br />