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��� � � � / %i . <br /> V <br /> ✓ <br /> N.^. fRI�M� <br /> CITY OF EVER�TT--Water Dept. <br /> , - � <br /> Application No��./.._�..1... Date............�...�.................�--......19.�.� <br /> , 7nstall............................ .inch water service pipe <br /> � <br /> _ . <br /> For .._.. :�..�F'.:.z.._-...�/s.....:�`��t�..:......_.............-- ............_..... --_. <br /> On ......�..�. �`"..���.=�r�.�.:�:�.... --................ .----...-- Street <br /> Lot._?O.//........, .��.Q�d.c!!,v,,,s'....... Block No.------..._............_._..--�- <br /> Addition ........----:........._---..._..........-----..--.....__......_........................•--- <br /> Remarks ---------.............._..---�------- .�..��--..._._.................................... <br /> . . <br /> .. <br /> ........ - --- _C��1;,,:�� . .' - �'...-........._...__.------......_... <br /> - ............_................-� ---....--- -....._--........................._.._....---...._....--- <br /> ...-- ......_............_....- - ......... ................- .__......--------....._----..... <br /> _.._.......- ..........-- ...._...... .........- --..............._._...........--------..._....... <br /> Superintendent <br /> � LABOR AND MATERIAL USBD <br /> No. Siza <br /> -- T — <br /> ..............".'.................._...._....._...I Lead Connection Complete <br /> .._..._.........._..._.............._........._ Saddie Complete <br /> .......................it...'....'................... .................................. ............................'......Piye <br /> ...................................................... Service Cock <br /> ...................................................... Service Box <br /> � No. Aours Labor.._...._..........__....__.............Coat............................................_.....'. <br /> Cut in.............._...Pavement............._....X......... <br /> .......................Sq.Ft. <br /> ...................X........................ ........................ " <br /> ..._........X........................ �� <br /> .._... ......._..........__. <br /> ...................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> Remarks..___...._... - ..............--......................_....._.............- - ........ .. <br /> _......__ __._.....- __._........................_...._......_-........_-....... <br /> ..............__......................... -- -- ..._ - _................--...............- � ....... <br /> OrderReceived.___....._....._..__............_...__.............._..............._....._..._ \ <br /> \Vork Completed._.._.....__.........._. ...__ . ...._.. <br /> _ ... _....... ... _.... . <br /> r oreman <br />