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CITY OF EVERETT--Water Dept. <br />Application No.... Date .......... ..... /... L16................ 19...... <br />Install ...............................inch water service pipe <br />For................................ ................... _................. <br />b/ �� ;W. ........................... <br />Street <br />Lot............................... _................... ... _... Block No .................... _............... <br />Addition.......................................................................................................... <br />Remarks�.................... ....... ... ....... ......... _....... .................. ..................... <br />................. ...... ........................ _.......................................... .......... _....... <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />No. Hours Labor ... ........................ ....... _....... cost ......_.._.... ....... .._..... ................ <br />Cutin .................... Pavement..._.._.._...... X....... _....... ....... __...... ... ..... ...sq. Ft. <br />........... ........ ............ _._... ........ . <br />....X.................. <br />........... .X...... ................. <br />Total ........................sq. Ft. <br />Remarks............................................................................................................ <br />............................................................................................................................ <br />OrderReceived.......................................................................................... <br />WorkCompleted............................................................................... ..... <br />Forcm <br />