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CITY OF EVERETT--Water Dept. <br />Application No.... //... Date ........... ..... .............. ............. 19...... <br />Install ... _......... .............. .inch water service pipe <br />For................... _.............................. »............................................................... <br />on ........... a� A....?.-.. ................................._.._... Street <br />Lot........ .-.............................................. Block No ................................ <br />Additiot........................................................................................................... <br />Remarks............... ......................... _..... _.......... <br />............................................. ............. ....... ...... » .......... »............... ..... ............ <br />Superintendent <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 />.................... X........... _.._._... <br />....................X................. ....... <br />...................... <br />Total "I....................Sq. Ft. <br />Remarks............................................................................. <br />......................... ................. ................................ ........ ....................t............. <br />...................... <br />OrderReceived................................................................. <br />WorkCompleted.............................................................. <br />Foreman <br />