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CITY OF /EVERETT--Waate/r. Dept. <br />Application Date ................ f1...-.1•................ .19...L .�. <br />Ins t��� :.........................inch water service pipe <br />For.........4, ..[wt Gcta.,/r:a. �.:............................................... <br />On........c.�....�.....'.........7.�Y/..t.�.............................. _......... Street <br />rsr -.................................. Block No .............................. . <br />Additiony....................................... <br />Remarks...................... ..... _.......... _...... <br />Superintendent <br />LARDSANDMATERIAL USED <br />Lend Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Bo: <br />No. Hours Labor ..................................... _... _.Coat ..... ........................................ <br />Cutin .................... Pavement ............... _.X........ _... _._... ........... .»....... sq. Ft. <br />... X................... .. <br />................... X... I........... ........ <br />................. X.................. .... <br />Total ..... ......... _... sq. Ft. <br />Remarks ... ..... ............. .................. ...... ......... ....... .....__.... <br />.. <br />.................................................................................. <br />OrderReceived......... ............................ ........................ _........... <br />WorkCompleted ....... _................................................................................ <br />Foreman <br />