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- - /G,� Z �' <br />S - � ,- .�� � ��: <br />w. o. ro�w a � <br />CITY OF EVERETT--Water Dept. <br />Applicatio�� Ko..i�/. :`.`;�� Date.........z?..-.I ..........................19..�`,! <br />I:�stall ...............................inch water service �ipe <br />For..................................:�..........................`y,r...........;.............................. <br />Qn ...::.'..�..�..��:.......��:7�::�..`[..:��.j:...:..:..ti,« . .. Strect <br />' `� . . .. ...... � . ....... ... .. <br />Lot.....................................................:�... Block No..................................... <br />Ad�3ition ......................................................................................................... <br />Remarks......................................................................................................... <br />LABOS AND MATERIAL UBED <br />:.cad Connecdon Complete <br />Snddle Complete <br />................... . ....................... <br />..._ .............. Scrvice Cock <br />................... Servicr. Eox <br />Superintendent <br />.......................... P i F � e <br />No. Hours L�bor ..............................................Cost.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq.Ft. <br />....................X........................ . �� <br />...... _ ............... <br />....................7{........................ �� <br />........................ <br />....................X........................ ........................ <br />,� <br />Total ........................Sq. Ft. <br />— --" -- <br />Rema rks ............................................................................................................. <br />OrderReceived .............................................................................................. <br />\Vork Campleted .......................................................................................... <br />Foreman <br />