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CITY OF EVERETT--Water Dept. <br />Application No.. .' _ _ Date_ ;..... _..... 19...... <br />Install___ ................ __. inch water service pipe <br />..._- .......... <br />_....... _ __........................................... <br />On............ ........... ......L ..... _.... ..................... otreet <br />rM ----------..-._............... Block No ......... .._.._.------- -------- <br />Addition <br />Remarks <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />................................................. <br />Service Cock <br />Service Box <br />No. Hours Labor................ .......... ... ............ cosL............ _.............................. <br />CutIn ...... ......... .... Pavement .............. _..X».»_»,._._....... ........ ............... Sq. Ft. <br />.................... X.._.... _.......... <br />....... _........... X........................ <br />Total ..._..................Sq. Ft. <br />Remarks.................................................................... . <br />Order Received .................................................. <br />.................... . <br />Work Completed....................................................... a_._ <br />. ........ . <br />Foremn <br />