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CITY OF EVERETT--Water Dept. <br />�Y G�/ Date ........... .. ..........................1D. <br />Application No ................. <-.... <br />Install ..... .......... _............. .inch water service pipe <br />...................... <br />For........... ...................//. / <br />ri��. C� .ar._......:... ........._......_... ....... Street <br />Lot.............................................. ....... .._... Block No....».._.._._.._.._.._....... <br />Addition.......................................................................................................... <br />Remarks......................._......................_.........._.._. ...._......... <br />..............................................................................._................_...._......_.._..__. <br />..................... f�.t;.hr. r.. �.. �.....................»..._..........._._.._._..._.._.._... <br />........ <br />............................. <br />.............................6, ,1;,g.........._................................SuPer.nt...... ... <br />endent <br />LABOR AND MATERIAL. USED <br />No. Size ------- --- - <br />........... .....».._.... _..........._......... _. Lead Connection Complete <br />......._......_.._.._. SaC_ z .^�mPlete <br />_.._._... ..._ .............._...Pile <br />_..». .........._... <br />.................................... Service Cock <br />........._ ..............._.._...,......_. Service Box <br />............ ... ....._» <br />No. Hours Labor ..........................._...... <br />_.._..... <br />Coat.._.._.._.._.._.._..._............_.._... <br />....................Sp. Ft. <br />Cut in .................... Pavement ....... ...... ... <br />X... ... ....... ........ <br />....... ._...... <br />X... _....... ........... .... I.._ .............. <br />Total ......... I ... ......... 'Sq. Ft. <br />....................... <br />Remarks ........................... _. <br />........................................ ............... . <br />............... <br />.. .Zman <br />. <br />Order Received ........................... <br />..................... <br />Work Completed........................................................ For <br />V <br />�r <br />