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CITY OF EVERETT­Water Dept. <br /> Application No �... Date <br /> ...a.. ......19......E <br /> Inst all......��tt....f�... inc wat service pipe <br /> For .��as..-ac-u�F . .......7_ lG._._�.. .............. <br /> On ...................���A...?..�......` .....!'v Street <br /> Lot............Z5/......................_........._... Block No................................_ <br /> Addition .........................................................a........................................... <br /> Remarks ,ej&_W7e.�+e-P-...... � z[r �_—........_............._. <br /> ..........._..... ..................................._........__..-_ <br /> .............. ......I.........._......_........ .. .._..... <br /> . .. ........ ...__ .. ....�............................. <br /> LABOR AND MATERIAL. USED <br /> No. Size_ <br /> „_ .,_................ ............ Lead Connection Complete <br /> ...................................... ............... Saddle Complete <br /> ............:.........Sl........................... ........................................................................pipe <br /> ........................... ....................... Service Cock <br /> ........................... ..........I............... Service Box <br /> ................l.........._....................... ................................................................................_._..._._....... <br /> No. Hours Labor..............................................Coet..._.._..___.._.._.._.._.._.._.._....... <br /> Cutin....................Pavement....................X....................... ..........._.........Sq.Ft. <br /> ....................X........................ .. <br /> ....................X........................ .. <br /> ....................X....................... ........................ <br /> Total ........................Sq.Ft. <br /> Remarks ............................:..._............ ............................. .........................._.. <br /> .. ................ ...... .................................................................................................. <br /> ............................................................................................................................ <br /> OrderReceived................._...... ................. ................ ............_.......... ....... <br /> Work Completed........ Fo r...mene . <br /> I <br />