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ICO 76 <br />CITY OF EVERETT--Water Dept. <br />Application No...........__........ ' ..... Z .................. 19. �-. .3 <br />Install ...... inch water service pipe <br />...... r7 <br />For <br />On ... <br />......................... Street <br />T..f ...... . ........... ... .... Block No .... . ........ I .................. <br />Addition <br />Remarks ... :74 <br />........................................... . tic .. :Ae.,XD�. ...... . ....................... <br />........... ............ ........... X — .... . ..... ............ ............... <br />.... . ................................. <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Biddle Complete <br />...... ................ 1:1..........................1 <br />::,:::��,*_­ �: ....... �erVi*c*e,C,,oc ... k <br />....... . ...... <br />Service Box <br />N* <br />No. Hours Labor ........................ .. ... . ­* .. . ..... cost ..................... . ... ....................... <br />''Cut in .................... Pavement ........... . ...... X .................. .. ... . ................... SQ. Ft. <br />.. ......... X ........................ ........................ <br />.. ................. X ........... ............ <br />Total ....... ... ... Sq. Ft. <br />------------- <br />Remarks............. ....... ....................................................................... <br />... ....................... ... ....... I ............ ................ — ........... .................... I ..................... <br />....... . ................................... ...................................... . ................. ... ............ <br />OrderReceived . ....................... .... .. ... ........ : ..... ........... <br />....... .... <br />Work Completed ............. ........... o\ren <br />