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J. PRIM <br /> b. roRM <br /> CITY OF EVERETT,-Water Dept. <br /> Application I... Date........... 19 <br /> install...............................inch water service pipe <br /> For <br /> .............I... ................................. <br /> ................I—......................... Street <br /> On .... 74� /../ 'S /(j <br /> Lot.......................... ................................... Block No........_......_._.._.. ....._ <br /> Addition <br /> Remarks ................................................................................................... <br /> .................................................................................................................... <br /> ................................................................................... <br /> ......................................................I............................................................... <br /> .............................. ...........................................ll.................... ......................... <br /> Superintendent <br /> LAIOR AND MATERIAL USED <br /> No. Size I <br /> ...........I................................j Lead Connection t.'ornplete <br /> ................................................. 3addle Complete <br /> ............._...._1.......................... ..................................... ......Pipe <br /> ..................................................... service Cock <br /> ................ ­­­.................. Service Box <br /> ............................................. ................................................................................................ <br /> ­­­­.................................. .... ............................................................................................. <br /> ....................... ........................ ................................................................................................. <br /> .................... <br /> ..... ..........*'-.."-.'..-....*'.......'.*", ......................................................... <br /> No. Hours Labor.......................................Cost.__.................................... <br /> Cutin....................Pavement................._X..................... ....................sq.Vt. <br /> ...........».......X..._.._.._.._.._... ...................... <br /> ....................X...................... ...................... <br /> ...................X....................... ........................ <br /> Total ........................Sq.Ft. <br /> Remarks.................... . ...... <br /> ..... ............. <br /> ..........a.�y............ . <br /> .............................................. ................................ <br /> ........................................................................... ...... <br /> '%%4 <br /> Order Received.............. ...................................... <br /> Work Completed... ................. ........ <br /> Forembn <br />