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/7.3oG�' �� <br />w. a .oew a' ' � _ � �� �L. <br />� ' CITY OF EVERETT--V�Iater Dept. <br />�pplication No..../.7 :�Lr.L.�... Date .............i .:(...::.L::.�.�..............19...... <br />Tnstall .............................. .inch water service pipe <br />For.................................................................................................................... <br />Un ..........................����'..'z�...,�.,c,.+..s.:t....:rC.�..._;�i�.:....... Street <br />Lot................................................... ..... .. Block No..................................... <br />A•.�dilion .......................................................................................................... <br />Remarks......................................................................................................... <br />_ ..............: � u:.�(r�l..:........................................................................----............. <br />. ,., ....:........................................................ <br />_.. `.?:.. _�.......`.-' .... /..... :........ ............................................. <br />/o - �v - �z- <br />Nn. I Sizc <br />LAROft AND MATERIAL U.^�RD <br />Lcad Connection Complete <br />Saddle Complele <br />........................................................................ P i P e <br />Service Cock <br />Service Box <br />No. Hours Labor .................... <br />Cut in ....................Pavement. <br />Order Received.......... <br />\Vork Completed...... <br />........................Sq. Ft. <br />....................X........................ �� <br />....... _ ............... <br />.................. .X........................ �, <br />........................ <br />....................X........................ ,� <br />........................ <br />Total ........................Sq. Ft. <br />_.........._. __........_. <br />Fureman <br />