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_ /'!►`��D - - ��� <br />�, , � <br />w. o. ra�w a ..--i ' / - - <br />CITY OF EVER�TT--Water Dept. <br />Application No.....I.�:_� ��� Date......:..:'........� ...........................19_C.'-f <br />tnstall ..............................inch water service pipe <br />For............. ....................::...............................� :............ .......................... ... <br />(, � f.� � � i)/ :, z(: Street <br />� <br />, ,}r� . :......................... <br />On ............. ...........................................�,.......... � .... <br />Lot- -- - ............................... .........:.... Block No..................................... <br />Adciition .............. <br />Remarks .............. <br />__... - _ <br />Superintendent <br />LABOR AND MATER.IAL USED <br />No. <br />Lead Connection Complete <br />Saddle Complele <br />Scrvice Cock <br />Service Box <br />PiPe <br />TIo. Hours Labor .............................................Cos,................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Fl. <br />....................X........................ ,� <br />....... _ ............ .. <br />.......X ........................ �� <br />......... . ........................ <br />....................X........................ �� <br />........................ <br />Totai ........................Sq. Ft. <br />" -- <br />Remarks ......................................................... ..... ..................... ...................... <br />. ........................................................................... ........................... <br />.................................................................................................................... .... <br />OrderRecei��ed .............................................................................................. <br />�Vork Completed.._ ..................................................................................... � <br />Foreman <br />