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.,. o. :o.,. � ��G.S'�� - . ,� _ h � , : <br />CITY OF EVERETT--Water Dept. <br />Application No..��S. :,�.�.. Date........._..: "�..:..�.:.. r.:`�.........19...... <br />Install ...............................inch water service pi, <br />I'or .................................................................................................................... <br />On ^ �' _' �'.........'-,.c,��.__ .r /.� n.;.<..: �.:.e..�........ Street <br />.............-........ .... -i.:.......:.......... <br />........ <br />Lot.............................................................. Block No..................................... <br />Aciclition................................................................................................. <br />....... <br />Remarks.......................................................................................................... <br />, ti_ <br />�� / <br />..................:!...... c:........�.::..:.......................................................................... <br />No. <br />No. Hours Lab� <br />C�t in ................. <br />LABOR AND MAPERIAL USED <br />I.aed Connection Complete <br />Sad�ile Complete <br />......... ..............................................................Pipe <br />Servicc Cock <br />Service Box <br />................ ... X........................ <br />....................X........................ <br />........................Sq. Ft. <br />........................ �� <br />........................ �� <br />Total ........................Sq. Ft. <br />�---- ------- <br />_-- <br />Remarks................................................................ ............. ................. <br />Order Received........ <br />1Vork Completed..... <br />............ .. \ <br />Foreman <br />