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. �� 9 �o <br />w. � r IONM y . <br />�; �� �, <br />�' <br />CITY OF EVERETT--Water Dept.✓ <br />Application No.�.%.:%_�_�... Date ............:�.:..�................_....19..4t•i <br />�Install� .............................inch water service pipe <br />� , <br />For ._..,.c ..:Y.<_..........:��L«.z�.�..� :....................... . <br />, r � <br />.......................... <br />On ...... _.... ".�.L.:..z...........,%Z<.:.k.z.�.�.....l�.��.�::c .t ............. Street <br />�.ot ...........................................................i lock No.................................-�-- <br />a�idilion ....................- <br />................................... ........................................... <br />..... <br />Remarks ......................��.�:a.c.�s.i '. <br />.. „r.;..L.. .r.c.t. .................................... ... <br />........................................................................................................ .................... <br />_.. _ ..... ..........----. _. <br />.. _ ........................-...... <br />........................ ..................... <br />SuperLitendent <br />LAIIOR AND MATERIAL USED <br />No. i Si>a i <br />................I Lead Connection Comnlete <br />................. Saddlc Completc <br />...............� .._....................................................................PiPe <br />�� �............I Servicc Cock <br />................ Scrvice Box <br />No. Hours Labo :..............................................Cost.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ ,� <br />........................ <br />...................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />To!al ........................Sq. Ft. <br />-------'-------__ -- <br />Remarks..............._..............._....................................................... -- <br />...... ....................... <br />............. ......................................................................................................... <br />Order22eccived ............................................................................................... �1 <br />�Vork Completed.._..._...._...........__..... ....__.._. <br />__ ...... . ...._ .. ............._ .. <br />Foreman <br />