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w. o. .o.:� � /G�9 - — � � ; � , `� <br />CITY OF EVERETT--�YJater Dept. <br />i<<-�,�� � � <br />Application T'o........'.:.:.....�.... Date ...............................................19.� `! <br />Iastall ...............................inch wate: service pipe <br />For..................... ............................................. <br />.... <br />, . , _ � ............ . <br />. � , <br />. ............................ <br />On ....�.�...:'.1.�...... /.�c.�..:t '. ., �... � ' ................... Street <br />.... ... .......:.'�......... _..:... <br />Lot............................................................. Block No..................................... <br />Addition......................................................................................................... <br />Remarks .................. -- _ <br />Superintendent <br />LABOR AND MATERIAL USED <br />No. I Sizc I <br />Lcad Connection Complete <br />Saddle Complete <br />...................................... P i p e <br />Scrvice Cock <br />Scrvice Box <br />No. Hours Labor ..............................................Cost.................................................... <br />Cutin ....................Pavement...................X........................ ........................Sq.Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />....................X........................ .� <br />........................ <br />Total ........................Sq. Ft. <br />.. ... .................................................................... <br />OrderRecei�•ed ............................................................................................... <br />\Vark Completed .......................__........................ I <br />_ ..... ............. ............ .. <br />Foreman <br />