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/ 7 <br /> CITY OF //EVERETr--Water Dept. <br /> Application Date............. ...........10...... <br /> Install...............................incl.water service pipe <br /> For ................. ......»............ ....................................... <br /> On ............../Z q1 .....5»��;.4 treµtre: <br /> Lot............../I...... ........ % Bloclr Noe......_.._._.._......_S �si a <br /> Addition ,�.�.` ......?.{��.�a��. . .5..t............................_.................... <br /> Remarks .. ....Q... .. . <br /> C1.. .............................................................. .._.._.._. <br /> . .....m...................... ....................................................................... .. <br /> ........G e................._..._..._......_............................... ........ <br /> _._... <br /> ...-....7...3....................»..........._..................... <br /> x <br /> SSpntenden <br /> LABOR AND MATERIAL USRD <br /> NOV Size <br /> »_...._.._...._.............._......... Lead Connection Complete <br /> ..._......».._..»..»............................ Saddle Complete <br /> St._.._.._.._.._......... ..................................._.............._.._....._.....Pipe <br /> .._.._......_.._....... <br /> ......................_. Service Cock <br /> ...._.._..........._............... <br /> Service Sox <br /> No. Hours Labor........................................Cost.......».......»....................... <br /> CutIn....... ... ....Pavement...................X..................... ....................Sq.Ft. <br /> ............ ..X........................ ................... <br /> .......... .........X........................ ...».._............... <br /> Total ......._...............Sq.Ft. <br /> Remarks... _ \--- <br /> ...... <br /> . ...... .......................... .... <br /> Order Received................................ <br /> . <br /> ........................................._.........._...... <br /> WorkCompleted......................................................................................... <br /> Foreman <br />