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/2�w3 � <br />•'• IOwr � 0. r <br />CITY OF EVERETT -Water Dept <br />Application No../..11..17.... Date .......... :..J.-.�...............1B...... <br />For <br />Install ....... _....... ............. .inch Water service pipe <br />........................................... <br />........ <br />On.........................._ iL_-..Za. d............................ Street <br />.............. <br />Lot .............................................». ._.............». <br />Addition ......... ... Block No... .........._.. <br />emarks ....... <br />....................................... <br />.......................................................................»..»..»... <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />No. Hours Labor .................... <br />... ......._..».........Cost......................................... <br />.............Pavement.............._.X......._.._........... <br />Cut In .. <br />................... X................. _... <br />Total <br />........................Sq. Ft. <br />Remarks....................................................................................................... <br />............................................................................ <br />.............................................................................................._.......... <br />Order Received ................. <br />/Work Completed.................................... <br />F <br />..........................................ore.man..... ..... <br />