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/li071' <br />w. o. room <br />CITY OF EVERETT--Water ept. <br />/ / is.C. <br />Application No....:l.....'./!S ..:...c. Date. ............. <br />Install...............................inch water service pipe <br />For ................................................... <br />_.....�1.......r........................................... <br />on ..... ..1._....-.....(a./.1..... /!....lLl ......................_....... street <br />r—f _.---------...... _........ Block No ........ ....................... <br />Addition <br />Remarks <br />Superintendent <br />LABOR AND MATVIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />............. _...... ... .............. _....... pipe <br />Service Co -k <br />Service Bra <br />No. Hours Labor ........................... .... ...... _..... Cost. ._................... _...................... <br />Cut in ................. .Pavement ............... _... X .......... ........ ..... _....... Sq. Ft. <br />. <br />