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. �/�,SZ , � <br />, <br />w. n. ro�w , (.. . n l p� <br />CITY OF EVERETT--Water Dept. <br />Application No../..;/.:':r::.�ic... Date......:'? ....:.:....::..::_�.:..:�.........19...... <br />lnstall ............................. .inch water service pipe <br />Fvr...................................... ............................................................................. <br />� �, - <br />�,t `� .. , .. :.. <br />� — - �'� r.�..:.. :,...r:,a....... �.1 c............ Street <br />l.ot ............................................................. Block No..................................... <br />:.ddition ................................ ....................................................................... <br />Remarks.......................................................................................................... <br />"' �:. <br />..................f... u.. r. _:.. _.................................................................................... <br />.. ../y <br />. ,"J"�¢ i/...G Ul•...•. .......... ............................................ <br />�- <br />Ci 1� - �z <br />LABOR 9ND MATERIAL USED <br />Size I <br />...........................�...........................I Lead Connection Complcle <br />........................... ........................... <br />� Snddle Complele <br />.......................tt. ........................... ................................................ .......................Pipe <br />...................................... .... ........ Servicc Cock <br />..._.........._ ..................................... Service Box <br />No. How•s Lsbor ..............................................�ost.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />... ...............X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />---`--- ---- <br />Remarks ................................................................ ............................................ <br />OrderT�eceived .............................................................................................. <br />\Vork Completed ............................................................_.......................... <br />Foreman <br />