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ILL. <br /> w. o. FORM a <br /> CITY OF EVERETT.-Water Dept. <br /> Application No/.�4F' 1 Date........<l c ......................18 >.'rL <br /> Install...............................inch water service pipe <br /> For ..........4 .................................._.................._..... <br /> On ......,��f�v� ......�� �zu�. .....7G..�0................_....... Street <br /> Lot............................................._.......... Block No............».................. <br /> Addition .......................................................................................................... <br /> Remarks .......( axfy�w�7�.a. .»......_......»......_._.......».._......._........ <br /> ............................................................»..............................................»......._... <br /> ......................................................................................_................................ <br /> ............................................................».............._........_..................................... <br /> Super!ntendent <br /> LABOR AND MATERIAL USED <br /> No. Size <br /> ............»....................................Lead Connection Complete <br /> ......................... Saddle Complete <br /> ...................It ...................... ........................ .Pipe <br /> ................................................... Service Cock <br /> ....................._... ...I...........I........ Service Box <br /> No. Hours Labor............................................Cost...»......_............................... <br /> Cutin....................Pavement..................X......._............. .....................Sq.Ft. <br /> ...................X..................._ <br /> ...................X........................ ......._.._._. <br /> ...................X........................ <br /> ........................ <br /> Total .......................Sq.F.. <br /> Remarks........................................................................................................ <br /> .... <br /> .. .............................................._..................................................................... <br /> .. <br /> ......................................._...................._............................... <br /> ..........\F ;e <br /> .Order Received.............Work Completed........................................................... . . <br />