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V v : y" <br />CITY OF EVERETT--Water Dept. <br />Application No.IL.'. L.`.?L.. Dat 'L`l j��................19..` <br />Install..... ...... . inch water service pipe <br />(�J y c...... . <br />For,(!"It-As..rt-r..........s9,4 n...................._._..._................ <br />On .... _..... _........ <br />U—....._...>......_.........:..r........._....... Street <br />Lot............... _.... .�,'.... ...... I .... ..... _.._ Block No ........................ <br />Addition........., ......................... _........... ........ .. f..................._..................... <br />Remarks <br />.....:.... fy.(J..L.'Jr..........�66•....�L.......(..d.'./............................................ <br />..............................any ... ......... <br />..........._ ...: f: ......mnar. intand_.__ <br />ent <br />LABOR AND MATMAL USED <br />Lead Connection Complete <br />-Saddle Complete - - <br />...............:.............._.......:....._: Service Cock <br />........................ . <br />`_„....... Service Box <br />No. Hours Labor ........... .... .......... ... ...... _..._Coat..._......__........_......_.._......_.._._ <br />Cutin .................... pavement. ...... _....... _. X........... ........... ............. .......... sq. Ft. <br />... .._........... X.... <br />I <br />................A ....... _............... ....................... <br />.. Total ............ I ..... .... Sq. Ft. <br />Remarks ...... ....................... .... ............... ..............._......................... <br />.............. <br />... ........... -..... _........ _..... _.... ....... _........ ........ ..... _ ....__............ <br />..........1.......I.......................................................... _... <br />Work Completed..— ." <br />ompleted........'.............._......._Foreman ....__.. .......... _..._ ....... <br />Foreman <br />