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v - <br />w. <br />CITY OF EVERETT--Water Dept. <br />W —1..................la._4 <br />Application No..%...:.'._i.. Z. Date ................ ........ . <br />Insta/ ...........................inch water service pipe <br />For> ,._..ts ........'l ,r. Sri .................................................. _. <br />On............... ................................. ....... Street <br />Lot.............................. ..................... ... _... Block No ........ _........................... <br />Addition.......................................................................................................... <br />Remarks............................../.... ........._................_.._......._......_ <br />................................. I...............k.,r..7.L: A.Mrs....._.........._......_... <br />..................................... ....................... ........ ....... ».............. . ........... ............... .... <br />.............. .................... .......... ............................ «...... .................................. _...... <br />......................................................................................_.._....... <br />"-""'""" """' ' Superintendent <br />LABOR AND MATERIAL USED <br />No. Size — --- <br />.... ..._.._.._.... .......................... Lead Connection Complete <br />Saddle Complete <br />.....tt. _............. ......... ............ ...... ........... <br />......_.._.. Pipe <br />.._.._ ......................._................._. Service Cock <br />.... ............ ..._.._. Service Bo: <br />No. Hours Labor .... ....... ........... .............. ...... Cost. ... ..................... ............... ........ <br />Cut in...................Pavement.................X.._................... ......._............... <br />. <br />_..............X........................ <br />. .. <br />Total ........................Sq. Ft. <br />Remarks... .... ._._........... .... ..........__..............__......_............................. .... <br />........................................................................................................................ <br />...................... _................................ ............... ... ...... ........................... _........... <br />OrderReceived. ......_........................_.._._..........._.......................... <br />WorkCompleted. ....._ _._ ... ....... __.._._ ........................... <br />Foreman <br />