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w, o. roar T <br />CITY OF EVERETT--Water Dept. <br />�i <br />Application No�.....:. Datc.....�.'"/.. ......................... <br />InMall............... _....:....... .inch water service pipe <br />For .d 'a-w�.': {..... � .. l�; t � r..-............I..................... .... . <br />^. 7. <br />On ...... ? .2 4..::...T ........�Zc a ...... Street <br />Lot.................. I.i...... ....................... .... Block No ......... ........................... <br />............._._. .........__.... <br />__ ..___... <br />......................... c ;........._ _... <br />. . <br />tt.. .. ./...................... .:.-..:......e 5e�j <br />o Superintendeni <br />r (' <br />LABOR AND MATERIAL USED <br />No. Size <br />...................................................... Lead Connection Complete <br />._ ............ ......... .... ............ ......... . Saddle Complete <br />............. ......... tl..... _............ ....... ..... ..... ................... .......................... ....... _...... Pipe <br />................................................... Service Cock <br />.... ................. ........ Service Box <br />No. Hours Labor ....... _....._...................... ...... Cost. ...................... ...................... _ <br />CutIn .... ....... .... ... Pavement _................. X....... ... ...._....... ................. .... Sq. Ft. <br />....................X.......__.......... .. <br />...-. _............X...... ._... _...... .. <br />.............._....X..... _ .. <br />Total Sq. Ft. <br />Remarks...........:...............:......I........... I-- . ..... ......... ...... .......... . <br />... ...................... ................. ....... ..... .............. I ... ... _.___.... .............. ...... <br />.......................................................................................................................... <br />Order Received ............................... .......... ...... <br />WorkCompleted.L.....:...................__. ._ __...._.... ............. ..... <br />Foreman <br />