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CITY OF EVERETT--Water Dept. <br />Application Date ........... ... ....�.............18 ..z <br />Instill ........................... .inch water service pipe <br />For .......1/„f�c ....�. c4 ............. <br />On............ ....................... ............... ....... Street <br />Lot...................................................... ... Block No........_..._._._......_ ...._ <br />Addition ....................................... _.................................................... <br />............. <br />Remarks..... w4w, .�W................ _......__........_._.._..._........ <br />......................... <br />Superintendent <br />LABOR AND MA_ IAL USED <br />........._......_........ _... ........... ......... Lead Connection <br />......................._............................. Saddle Complete <br />................St. . ......................... ....... ...... .... I............ <br />.................................................... Service Cock <br />......................_... ................... Service Box <br />olete <br />....._ ...............Pipe <br />No. Hours Labor....................... ..... ........... ...... Cost. ....... ... _........... ..................... <br />Cutin....................Pavement................... X....... ....... ....... ........ .............. sq. Ft. <br />................... X.......... ......... .. <br />............ ............... _....... .. <br />. .. <br />Total ......I................Sq. ^t. <br />......... ....... _......................._._.................._........ <br />.... <br />........................................................................................................................... <br />---- <br />Order Received. . ........ <br />eceived................................._._................................................. <br />WorkCompleted ....................... ....................._................F.................. <br />oreman <br />