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w. m roam a <br />CITY OF EVERETT Water Dept. <br />Application No%.../C;P1 Date...............�$�................... <br />19...r <br />Install....... '77�� inch water service pipe <br />'7� «... <br />For..............t. f ... 'rrGCr........... ................. <br />......... <br />On ..................r..::._ .1•J".�..Cd ....... %......,S..�fl....... Street <br />Lot........... _..................... _......................... Block No ........ ....... _...... _..... <br />_... <br />Addition.................... .------------------- ----------- <br />No. <br />................. ............., t .w...........{. ,. ...... <br />............. <br />..r 3 V " <br />...................{..L..t..........._................. . . � r <br />......._....................................._,C� . .. d o <br />..../...i ................. .. Su t tend, I Y <br />C• _ <br />w,-tea. LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddlo Complete <br />.....:.r,:..! ..c............. <br />._..«._.. «..«.._......_...... Pipe <br />Service Cock <br />Service Box <br />No. Hiurs Labor........................... _................. Cost .......................... .......... «....... <br />CutIn....................Pavement.................... X...................... . .............. ........ sq. Ft. <br />Y u <br />............I ...... X............ ....«.... <br />.................... ....... ............... .� <br />........................ <br />Total ..... .._...............Sq. Ft. <br />Remarks....................................... ......- ................... .... ............................. <br />..................................................................................... <br />OrderReceived ......................... ................. _............ ......... ...... ...... ........ <br />WorkCompleted ............................ ..... ..........._ ........_............... .. <br />Foreman <br />