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o. r <br />'V OF EVERETT--Water Dept <br />f d L -I <br />Date. .-- ---•------ <br />--- <br />Install --- _ly <br />------ inch water service pipe <br />Lot <br />.-.Block No.--------- ---------------- <br />----•----- <br />-------------------------------------- <br />--------------------------------------------- -- - <br />----------- — ----------------------------------------- <br />-------- <br />----------•-•----...------ <br />�IiperintNtde�?�r <br />LABOR AND MATERIAL USED <br />Ho. -_- <br />---�, Leed Connection Complete <br />it.... Snddle Complete <br />• -- - Pipe <br />Service Coe% <br />Servim Box <br />�----- -. �� �cr..6m14--------------- ----•_.---....._....._.._.._.....__...- <br />.. )-.. ----------•------------------ <br />..... .................. .. ....... .... <br />No. Hours Lnhor-- _. ..-------- .------- Cost --------- ------------------------- <br />Ft. <br />.- .......... Sq. Ft. <br />Remarks ...--------- -----�325--�::, �?_-- - - <br />.-•----...................... --•-----•......... ............ <br />--------•--------------------------- _...............*----•- <br />OnlerReceived __.. ,ram <br />-•-------• -------------- <br />War: Completed ._f:--F1'� <br />ore an <br />