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Ll <br />CITY OF EVERETT—Water Dept. <br />Application No.,";Ke"4X. Date .......... <br />Install. Inch wat-'ar service pipe <br />. <br />Fog. ...... <br />..................... ",16—.404-1 ............ <br />................ . ....... Street <br />Lot......................................................... . ... Block <br />No............__.._. <br />.... No ........ ... . . .. . .Addition .. <br />............ <br />Remarks <br />............. ................. <br />................... <br />.......................... ... ........ <br />.... ................................... <br />...... ...... <br />wAry LABOR AND MATERIAL USED <br />Lead Connection Complete <br />rale pomplete <br />..... . .............._.............._.......Pipe <br />Service Box <br />No. Hours Labor .............................................. COOL ..................... ... .... . <br />Cut In ................... pavpnlcnt .... ............. X .......... ... ... <br />.. .... .. . ....... X ................... ... ... <br />. .......... I ...... .... ........ ............ .. <br />........... X ........................ ........................ <br />Total ................... .....Sq. Ft. <br />Remarks5 <br />...................... <br />.............. ................................ <br />...........I ............ .......................................... . ....... ....... . ...... <br />Order Received ............... . ................... <br />Work COmpleted.,j..-j.7..z/,.c ... <br />............ <br />For e m a <br />