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CITY OF EVERETT--Water Dept. <br /> Application No..z Date..... <br /> ..... 5�......... <br /> lnstall.._J_�................inch water service pipe <br /> For ........... ..... ........ .................................. <br /> * <br /> On W' .- * <br /> ailx� _.&................... Street <br /> Lot o ......t *..........­� ***'*"***.................................. Block No........_..._._.I............. <br /> Addition ........................................................................................................ <br /> Remarks !-r.._._..._......_.._......_.._.....__......_ <br /> tctzrKm__e_(........................................ <br /> .....................................................I <br /> .................�.,. _ ............................... <br /> ......... ....................... <br /> ............................ .. .... .......... <br /> Superintendelirti <br /> LABOR AND MATERIAL USED <br /> No. Size <br /> .................................................... Lead Connection Complete <br /> ......... ...............................I..... Saddle Pomplete <br /> . . .. .......... <br /> ........... ...........................................P pe <br /> 6ok <br /> ..................../.....7.��............. Serv(jj <br /> ...............I......... Service Box <br /> ......................................... ............................................................................................... <br /> ................ . .................... ..............................................I............................... <br /> ........................ ..........................................................I................................. <br /> ....................... ................................................................................................. <br /> ..........*-.,..*._J , <br /> ...................— <br /> No. Hours Labor.............................................Cost............................................ <br /> CutIn....................Pavement..............._... ....................... ....._..............Sq.Ft. <br /> X........................ .................... <br /> . .............X-.....I................ ........................ <br /> X.,..................I.. .................. <br /> Total .......................Sq.Ft. <br /> Remarks / Z �,L ........................................ <br /> . <br /> .. ................. .......... ........................... <br /> ....................­...................................................................................... -..**....... <br /> Order Received.............................................................. <br /> ..... .......... <br /> Forema <br /> ... ......... <br /> Wnrk Completed..****'****"*"*"*"'**"***............ <br />