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-CITY OF EVERETT--Water Dept. <br />Application No- S.s.14L. Date .......... ..:. ........................1BL.:.' <br />Install ......._............ . inch water service pipe <br />For ...G Q 2 : .........57..�j.....L a�..i�c_k :.............................. <br />On ..... /.7.11. 2.........` .,- .:.it ......_.._... Street <br />Lot................... ........................ _......... _... Block No ......... ..... _.......... ....... <br />Addition � <br />.............................7 .................... .. <br />Remarks ........ .............. _./�a:2.t n-av......... _................. <br />...............».............._...................................... _.. _... <br />Superintendent <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />No. Hours Labor ..................... ...................... _.Cal.._._.._._.._.._..._.._._......».._.» <br />Cut!n.................... Pavement. ............. _..X............... ........ .......................Sq. Ft. <br />...................X........................ .. <br />X.... ...................... ........................ .. <br />Totr.l ........................Sa. Ft. <br />Remarks............ _ ........... ........ ._....... _..................................... .......... ........ ..... <br />........................................................................................................ ............... <br />.................... ....... .............. ......... .............. <br />OrderReceived ... ..... .................. ........... ..._.._............. ......... ... ..... _.............. <br />WorkCompleted........................................................................ <br />Foreman <br />