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-/ 6- --- <br />I.Jewr <br />-CITY OF EVERETT—Water Dept. <br />Application No ... Date............ ......................... 19-6. <br />In tar ... ...... i h water service pipe <br />For"*/C . ........ . . ....................... <br />On....... ...... ...... e.� ........................ . ....... Street <br />Lot...................................................... .. . ... Block No......._............................ <br />Addition............... .... __ ------------- ----------------- - _ <br />Remarks....................... . ............ 2 ........................... 6 ... : .......... .................... <br />................................................. , <br />............... .. . ......... . ... <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />No. Hours Labor.. ......... ... ...... <br />Cut In ............. .. Pavement . <br />iilii�r.ini c.. n-. d.- e­ n-. ti. <br />........... ............ Sq. Ft. <br />.... I . ..... I .... X ............. I .......... ....... . ............... <br />......... . ... X ..... ................. ........................ <br />...... .. .... X . . .................... ........................ <br />Total .......................Sq. Ft. <br />Remarks...._._ .. ...... ........... ..................... ..... . ....... ......................... .. <br />................. ................ ........ ... ....... ...................... . <br />............................................................................................................ . ......... . <br />OrderReceived....._ ............. .............. ................... ........... ........... ....... <br />WorkCompleted ............................. ............. ....... .......... .......... . Foreman <br />