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CITY OF EVERETT--Water Dept. <br />No...................... Date ................ ............... <br />.................19...... <br />�j 1 stall......._ .....................: inch water service pipe <br />For .........na.:. <br />.................................. <br />On........ h�c.......... ...... ................................................._.._... Street <br />Lot............. ........._..._..__....... Block No......_.._...._._:.._...__ <br />Addition...................................................... <br />Remarks ... ....................................... _.._._. <br />Superintendent <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />....I .......... ........... Service Cock <br />... .................... ... .............. ...... ..... Service Box <br />No. Hours Labor ....... ................ _..................... cost ........................... _....................... <br />CutIn................. ..Pavement, ............. .... X ................... -... .... .................. .sq. Ft. <br />..........__.....X........ ...._....... I. ........ ...... _....... <br />...................X... .......... ........... �. <br />Total ................... .... Sq. Ft. <br />Remarks.......!.:. ................ _............. .. <br />__` .........._....................................... <br />............................................................ ................................................... _... ...... <br />OrderReceived ....................................... ................................... __........... <br />WorkCompleted ....... _............................................................................... <br />Foreman <br />