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�72 /44 <br />CITY OF EVERETT--Water Dept. <br />Application =,( �_ <br />Date..........._.......(..-(r <br />Install ...............................inch water service <br />For pipe <br />On......................_......_. ............ <br />....... ... <br />rQa? v� <br />Street <br />Lot ................... _.. Block No........_..._._. <br />....... _............ _. <br />Addition ............................. ......_ <br />............................................................................. <br />Remarks ..........».........._.................._._.. <br />........................................... ....... ;............ .... »_.......9unrinlend <br />........................................... ............... _............... ._..etf . . <br />LABOR AND MAT^RIAL USED <br />a <br />O. Slsc....._...................... Lead Connection Complete............_.._.._... ......................... Saddle Complete <br />._.»..1t. ._.._.._._..............».._..». Pipe <br />................. <br />....._....... _.._......... .... Service Cock <br />....._........................I......_. Service Box <br />.._.._.._.._.._......__....».._.._.._......».................._. .......... <br />o. Hours Labor ...... <br />........ <br />....... <br />.._.._.».._..»..... Cost. ......... _....... ...».._.._.._..... Cut in .................... Pavement ......._......_..X.......... _..»... .... <br />... ...».._.........0.... <br />Sq. Ft. <br />........... X........... _...... .. <br />....................x..............._. n <br />....... _..... .....X........ .............. .. <br />._..--- ---- - Total ...... Sq. Ft. <br />Remarks............. <br />.................................................................. <br />................... . <br />.......0................................................................................... <br />Order Received ............ <br />................................. <br />Work Completed ...................... - <br />.................. . <br />.......... ..... <br />Foreman <br />