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w. a row sear 19 di 6 <br />CITY OF EVERETT,-Water Dept. <br />/. <br />Application Nol.1...tiJ Date .... ...... ....:../....................... 19...ta -1 <br />Install. ......... inch water service pipe <br />For s1 Cs Z`..... a ".�`.._......... ............................ <br />......... . <br />On..._ ... . .... ................. I ................ ....... Street <br />Lot.............................................................. Block No ......... ... _......... ........... <br />Addition..................................................................... <br />Remarks ........ Ls.r�.5........_..................... <br />------ ------- -- <br />..... ......... .... ............... _. _.. _......................... ___ <br />Superintendent <br />LABOR AND MATERIAL USED <br />Le W Connection Complete <br />Saddic Complete <br />... ..... .................................. _...................... <br />_.. Pipe <br />Service Cock <br />Service Box <br />.... ..................................... <br />`---------------. _..... <br />No. Hours Labor ..........................._......_ ......... cost ................... ... ........... ....... ....... <br />CutIn .................... Pavement .............. _...X..................... ........................Sq. Ft. <br />................... X..................... .................... .. <br />.................... .... ....... ........... .. <br />................... X........................ ....... _................ <br />Total ........................Sq. Ft. <br />Remarks.-......................................................................................... - - <br />........................................ ........................................................................ _........ <br />OrderReceived.......................................................................................... <br />WorkCompleted ........ ............................ ..................................... ... ......... <br />Foi eman <br />