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W. D. IOIIM <br /> CITY OF EVERETT--Water Dept. <br /> Application No../. ..a' Date...............f.......1......................19..C <br /> In Call.. ........................ inch water service pipe <br /> For ...................................._. <br /> On ... l..I:.�...........�J.s ......✓ Yl.....J.:..F.�::................ Street <br /> Lot........................................................... Block No....................... <br /> _._.... <br /> Addition ................................../. .........................f <br /> Remarks ......................_.....L:�clt. ;.lrrL..Lt.�:a............................. <br /> ................. ........ .....................................................................................--^• <br /> ................__ .... ... ......................._......_....................................................__... <br /> . . ........... ..............................._.................................. <br /> _.. ......---... <br /> .............................................. <br /> Superintendent <br /> LABOR AND MATERIAL USED <br /> ....._...No._.. ,........_Size I <br /> .... ......Lead Connection Complete <br /> ..............._......... ..........................I Saddle Complete <br /> .......................It........................... ......................................................................Pipe <br /> ...............................-.................. Service Cock <br /> ................................................... Service Box <br /> No. Hours Labor..........................._.................Cost........................_....................... <br /> Cutin........... . .....Pavement ..................X....................... ......................Sq.Ft. <br /> ....................X..................._ .. <br /> _.......X........._............ .. <br /> ._.............._X........................ .. <br /> Total .................. .... Ft. <br /> Remarks..._.............. ........ ... ............_.....__........ . . ......-........................ .... - - <br /> .. .......................................................................................................................... <br /> OrderReceived............................................................................ ................ <br /> WorkCompleted............................................................................ .............. <br /> Fo man <br /> 1 <br />