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/7Z/9 <br />W. M room 9 <br />- CITY OF EVERETi--Water Dept. <br />Application .... Dale.......... ...........19...... <br />Install............................. .inch water service pipe <br />For................... _.............................. _.......... _...................................... ............ . <br />On ................ �.�1.....:....... k� -- Street <br />._............ ..'.�6............_......._.._. <br />Lot.............. ....... ........... ........... .... .......... Block No ........ _........ _............... <br />Addition...................................................................................._.................... <br />Remarks ......_.. •• <br />p��,b�........................................................................_......... <br />........................................... P, -. t-i <br />LABOR AND MATERIAL USVJ <br />Lead Connection Complete <br />Saddle Complete <br />.................... .............. ... ....... Pipe <br />Service Cock <br />Service Box <br />No, Hours Labor ................. ...................... _.... COST .............. _._................ ....... <br />Cut In ........... ........ Pavement ...... ........... <br />X....... ............. ....... .... ... ....... Sq. p Ft. <br />.. <br />...... ............ A.......... ........ ...................... <br />..... X..................... ....... -............... II <br />..............X ....................... ........................ <br />_. Total ... ........._.... .... q. Ft. <br />�4-�.--ate--- <br />Remarks._._ .................. ........_........................... <br />.................................................... - <br />OrderReceived............................................................................................... <br />WorkCompleted.........................................................................Foore..re-man......... <br />