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/70�7 �T _ <br />w. o. ronH a %� ' -S�'' (�� <br />- CITY OF EVERETT--Water Dept. <br />Application No... �. 7c.'.1� �% 1 - / ( � <br />... .... Date......_ :.. ....... :...' ..................19....-- <br />Tnstal: .............................. .inch water service pipe <br />For.../..........�..(.........�.............../..,!..�.......................................................... <br />4 � -.....�........._s...4�.:....:.^.:..�..�.{y L�-.. <br />On ...... "........ /C' � . ..................................... Street <br />Lot.............................................................. Block No. <br />.4dditinn .............................. <br />Remarks .............................. <br />LABOR AND MATERIAL <br />No. ! Size <br />.....................................................I Lead Connection Complete <br />..................................................... Saddle Complete <br />.......................it............................1 .................................................. <br />........................ .................. Service Cock <br />.. <br />...................................................... Service Dox <br />� <br />No. Hours Lnbor .................... <br />Cut in ................._.Pavement. <br />� <br />Sq. Ft. <br />------- ................ ......................_ �� <br />....................X........................ „ <br />...................... . <br />....................X........................ „ <br />....... . _ ............. <br />Totnl ........................Sq. Ft. <br />Order Received .................._. <br />1Vork Campleted .................. <br />� <br />....................._..�....�... ............. .. �.. � <br />Foreman <br />e <br />