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w. o. row a i •0 <br />CITY OF EVERETT--Water Dept. <br />J ..l <br />Application No ... l.G:.4..'Z.%f... Date.........: .... ... ...................19...... <br />Install ..............................inch water service pipe <br />For ............ ........ ................................ _...... <br />..................................................... <br />On........................ .2`—t..._-....�a./......-...................................._... Street <br />Lo'............................................. _..... ._... Block No .......... _.................... <br />Addition...................................................................................................._.... <br />co <br />.............. ..... ............................................ UV... <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />................................... _................................... Pipe <br />Service Cock <br />Service Box <br />No. Hours Labor........................... _................. Cost- ._...... .... _.... .... ...................... <br />Cutin.................... Pavement ........... ... _.X...... ... _......... ....... ... ............ sq. Ft. <br />........... X.............. ... _... .. <br />.................... X................ _.. .......... .I ...... I.... <br />.................... X... I ..... I ......... ..... .. <br />....................... <br />Total ............_._....... Sq. Ft. <br />Remarks...........................................................................................................- <br />OrderReceived............................................................................................. <br />\Nark Completed ................................ . <br />Farem <br />