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CITY OF EVERETT-Water Dept. <br />Application Date ...... ....... !....:.1.......................19....� <br />Install...........:..............inch water service pipe <br />For ....... <br />�. ...........�:.....��................................. <br />�.11 ::..... .....1s r:..:�..'.........................._....... Street <br />Lot...................... .. Block No ........ ....... .................... <br />M. lition............................... ........................................................................ <br />Remarks <br />.... <br />............................................ .............. ...... ......... . <br />....................................................................... _....... <br />Superintendent <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />........I ................ <br />Service Cock <br />Service Box <br />..Uoat......._.._..._.._... <br />No. Hours Labor.................................... ............................I <br />N <br />Cut in ...... ._........ .Pavement_ .................. X................ ........ ....... ....... ........ 8q. 14. <br />....................X..................._... ....... _.............. <br />