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/ �� 31 ;? <br />W. 11 IQN <br />CITY OF EVERETT--Water Dept. <br />Application No..l::f(r.:f/.. Date ........... e...-./ ...................... 19.....4�1 Z <br />a+� Install ............. ... � inch water service pipe <br />Forens'.......,".:................... ............... <br />On ..... awl�1�21.....-....... <br />..Y........:....... 4-�44............. ........ Street <br />Lot............... ......... _ ...................... ._....... Block No ........ _....... ................... <br />Addition.......................................................................................................... <br />Remarks ........ ...................... <br />... ........._... .._ <br />t.x wi �t ...?S..................... .... <br />....................................................... _.._._............. <br />Superintendent <br />LABOR AND MATERIAL USED <br />Size <br />................_.._.._........................... I Lead Connection Complete <br />.................. »................................ I Saddle Complete <br />Service Cock <br />Service Box <br />No. Hours Labor .. ...................................... ..... Cost. ............ _._....._............ ..... _ <br />Cutin ......... ........... Pavement. .......... ....... X.... ....... ... ....... ...... .... ......... Sq. Ft. <br />............... .... ............ _...... ..._.._..._._._ II <br />.................... ........... _....... .. 1. <br />................. X........ ............... 1. <br />........................ <br />Total ...._................ Ft. <br />Remarks............ _... ............ ....... _............ _............. _. _ _ ._....................... <br />......................................................................................................................... <br />OrderReceived ................ .... .... ...._.......................... ........... ......................... <br />WorkCompleted ....................- ........... ...... ... .._ ...... ._................ ...... <br />Foreman <br />