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qf <br />w. m room a <br />CITY OF EVERETT -Water Dept. <br />Applicatior No ... l...`.2i�. Date.......3.:..........................19:... <br />Install ......................... .inch water service pipe <br />For.................... .......................... ... ... ........... ...................................... <br />.... <br />.. <br />On ........ (e..c�..... (� ' r Street <br />Lot ......................... .._... Block No»_...._ <br />Addition ............ ................ <br />................................_............. <br />Remarks ........................... <br />....................................».................._............ <br />....... <br />................. <br />............. ..._eH...C. !:4! �'.................. <br />.............I ....... 5�:....................... . _------ <br />- ZS —7G <br />................... <br />Superintendent <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />........................ <br />Service Cock <br />Service Box <br />No. Hours Labor ........................... ................ cost .... __..... ............................. <br />CutIn .................... Pavement .............. „-X..._.._............... ....................Sq. Ft. <br />.................... X......... _.._..»... .......... .. <br />................... X..._...__..I.,...... .. <br />.................. ..................... ............ I........... 4 <br />Total ........................Sq. Ft. <br />Remarks.. ........ . ............................... <br />._..........................................._... <br />............................ ........................................................ _.. ._.......... <br />_ _»....»... <br />OrderReceived., ..................... ............................. .................... ................. <br />WorkCompleted.................................................................................... .... <br />Fore n <br />