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� /�3�' . , - � <br />•'. O. IO�M ] <br />CITY OF EVERETT--Water �Dept. <br />,� ,,- ;. <br />Applir,ation No...�... ...r..:::� Date ........:......... � < <br />— / ......................._19....:. � <br />Instali ...............................inch water service pipe <br />For............................... <br />.. ...............� ....... ... <br />.. ......... <br />` ....................... .. . <br />r3� S— .... ...... <br />On ...:1 ........:.........._.......:i'':S:..T.(' • <br />.. �.... ...4.� ..................... Street <br />- <br />Lot.................................................. �.....� Block.No..................................... <br />Addition.......................................................................................................... <br />Remarks ..._.........__ <br />� <br />Sup�rtntendent <br />—_��,.�. <br />I.ABOR AND MATERIAL USED <br />Lcad Connection Complcte <br />Saddlc Completc <br />...................... Service Cock <br />... ......... <br />...................................................... Scrvice Box <br />No. Hours Labnr .............................................Cost.................................................... <br />Cut in ....................Pavement....................X........................ <br />........................Sq. Ft. <br />....................X........................ ,� <br />....... _ ............... <br />....................X........................ „ <br />........................ <br />....................X........ ..... ......... „ <br />........................ <br />Total ........................Sq. Ft. <br />—_ <br />--_ <br />ema rks .........................................- <br />............................ ........... <br />_. _ .............................................. <br />OrderReccived ....................................................................... <br />� <br />1VorY. Complcled.... _......._ _ __ i <br />_.. __ _ _ _ <br />I•'ureman <br />