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�✓ 96 � i i a L-v <br />w. U: fONH � / <br />CITY OF EVERETT--Water Dept. <br />Application No ... %.�...I..�Date.......::... :.:... I.........5.e...... 19.. E <br />-pte�ta;l�l....................... .:...inch .eater service pipe <br />For.....'�tr�r_ .. ! .................................................... <br />On ............... yi.,c��............. _...:? <br />.......... �,j._.._... Street <br />Lot...............::.. U...................._......_....... Block No ........ Z <br />Addition............................. ...................................................... _.................... <br />Remarks <br />LABOR AND MATERIAL U:4F.D <br />No. Sizr � <br />......... ....... _....... ...........................I Lead Connection Complete <br />............... _.._...... ....... .... ................ Saddle Complete <br />......................ft........................... ..,...................................._............. _........ ....... 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 />_......................... .................... ............ <br />.............................V.. �..: k....._..............................................�. <br />OrderReceived.......................................................... .................................... \ <br />Work Completed..`1..—../...'.6...:............. :............. ..L........... :...................... <br />Foremen <br />