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W. O IW� ]^ /���� � • J <br />CITY OF EVERETT--Water Dept. <br />.� . <br />Application No...���..`'.�:�_'.. Date.........�.:-.L ...........................19..�' / <br />Install .............. ............. .inch water service pipe <br />For ..................................... . . . . <br />� ........................... .... <br />.......... ................. ..... ... . <br />5 � d `1 � ,�< "� t..�...; _ «:,�t:_.,:'........... Street <br />On ..... : ... ........ _.............. .............. <br />Lot......................................................... �... Block No..................................... <br />Addition.......................................................................................................... <br />Remarks.......................................................................................................... <br />c LABOR AND 'M�1TER'[AL USED <br />No. <br />Lead Connection Complete <br />Suddle Complete <br />.............I Service Cock <br />Service Sox <br />No. Hours L�ba <br />Cut in .................. <br />Superintendent <br />.....Sq. Ft. <br />....................X. ................... �� <br />........................ <br />....................X........................ ,� <br />........................ <br />....................X........................ �, <br />........................ <br />Tolal ............. ..........Sq. Ft. <br />--------- <br />Remarks............................................................................................................. <br />OrderReceived .................................................................._...................._... <br />\Vork Completed ......................................................................._........_ _ <br />Forem:in <br />