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� � /�G9 :,.. <br />w: o. .o.� � 4' �_S L.3 �L <br />CITY OF EVERETT--Water Dept. <br />1/ ;? � -� <br />Application Nu../..� .:.:.....::. .... Date.......:::........�........................19..�: / <br />lnstal� ............................inch water service pipe <br />For................................... ......................................_......................... . ... <br />.... .. . . . <br />On .......�z./..�::./.........�—[:s�-�::1.%�,�.._��..........-Strecc <br />Lot...:....................................................:� Block No........................ . ... <br />Addition .....................- --- - --- ----- <br />Remarks.......................................................................................................... <br />............................................................................................................................ <br />...� ...................................................................................................... ............ <br />��� �- J.,F' ........................... <br />.... ........ ....'................................ .................................. <br />.................................... .................................................... . <br />. .......................... <br />� Z — � " � Z Superintendent <br />� LAIIOR AND MATERIAL USED <br />........................I...........................I Lead Connection Complete <br />...._ ................................._..........� Saddle Complete <br />Servicc Cock <br />Scrvice Box <br />No. Hours Labor ..............................................Cost.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />___...__.. X „ <br />....................h........................ i� <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />— ---- <br />Remarks.........................................................................._...- -- <br />OrderReceived .............................................................................................. ( <br />\Vork Campleted ........................__.............__................_.............._............ <br />Foreman <br />