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p✓ <br />o. ronw a <br />CITY OF EVERETT--Water Dept. <br />v!n <br />c {Applieatien Nd...»`..:..�..... Date._.... i L.r� <br />Install .„.................... .inch water service pipe <br />t� C /c.: <br />On <br />For....:.J�.....„............................. �5�:�........................................... <br />T ' .. 3 . 4;...a .. Street <br />Lot....................................... ..... ..... _... .... Block No»_».._. » .._....._.._ <br />Addition....................................... _............................................. _.................. <br />Remarks....................... _..... ..................................... ........... ................ <br />.... .................................................... _.._................ _....... ».................................... <br />Superintendent <br />LABOR AND MATERIAL USED <br />No. Size <br />................. ....... _ „.................. ...... Lead Connection Complete <br />........... „.... ....... _......................... Saddle Complete <br />..................... It............................ ... .................... .......... _............................ pipe <br />.............„...................................I Service Cock <br />.............._..„ ....... ....... ......... ..... _... Service Box <br />No. Hours Labor ........... ..... .......... ............ ..... Cost..„..„».... ........ _...................... <br />CutIn .................... Pavement..._..».._..._.X....... .„............. .................... Sq. Ft, <br />....... .X............. <br />.»._... n <br />........... ........ .X... ........ ... ....... ...... ............ ... <br />....................X........................ n <br />Total .Sq. Ft. <br />Remarks................................................. _.......... __.._........... ........ .......... _.. <br />............. ...__ ..._... ..... _.... ...._..__............ _...._..... ..... I ... _.I .............. _... <br />..................................... ................ .... ......... ...... ...._ _............ ...... . .....»`... <br />OrderReceived.......................................................................................... <br />WorkCompleted............................................................................................ <br />Foreman <br />r <br />