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-CITY OF EVERETT--Water Dept. <br />Application Date ............ t! ....... / .................. .... <br />Ins T........ . Inch water service pipe <br />For .... X <br />....................... . ..... <br />On .......... ........ Street <br />Lot............................... ............ . ....... ....... Block No........_.._.._.._.._._......_ <br />Addition ......... ...................... . . <br />... . ............ .............. . A .... ................ . ........... <br />Remarks... ................... . ... . . ................. <br />Superintendent <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />.................................... ....... ...... . ... ............... Pipe <br />Service Cock <br />Service Box <br />No. Hours Labor ............................... . ............. cost ..... ...................................... <br />Cutin ....................Pavement..............._... X ....... ............... ................... Sq. Ft. <br />...................X ....... ................ ........................ .. <br />X­ ................... ... .... ... ........ ., <br />Total ........ — ..... . ... Sq. Ft. <br />Remarks.. _... . ....... .. . ... ......... .. ..... .. ... ... .. .... <br />...... ............................................................... ....... ................................. . ........... <br />OrderReceived.. . - .... - --_ - . ..... . ..... .... ....... .. ......... <br />Work Completed ........... .......... . . <br />Fore n <br />