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3 8 3 S <br />CITY OF EVERETT--Water Dept. <br />r <br />ApplicationT40.... .....1 _.__ Date ..... DEf....&.1W4....................19...... <br />i <br />Install....._ ................. _..inch water service pipe <br />For ...... . <br />On................. ...:....::`...,:..A.......:..:........ ................... ....... Street <br />Lot............................................................. Block No ........ _......................... <br />Addition................................................................ - - <br />Remarks <br />-- --...... ..................................... I ........................ <br />Superintendent <br />LABOR AND MATERIAL USED <br />Lead Connection Completey p�� <br />Saddle Complete ))vcI qA; C <br />....................... .... ................ _...................... .... Pipe <br />Service Cock <br />Service Box <br />No. Hours Labor....................... _................. cost ....... ..... _........ .................... <br />CutIn.................... Pavement ....... ........ .... X ........ ...... ........ ...... ... ........... Sq. Ft. <br />......... X........... .......... .� <br />............ ....... X....... I................ ., <br />........................ <br />.................... X........................ ., <br />Total ................... ....Sq. Ft. <br />Remarks... ............................................... ........................................... <br />9 7..... .. �...._._................ .O '... !',.................................. <br />Order Received........................................................................ <br />WorkCompleted ............................ .............. ....... ..... ... ...... <br />Foreman <br />