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/G3G/ ,t <br />w. o. .o,., � 7, _ ., i ; ,— <br />CITY OF EVERET"T--Water Dept. <br />Application No....�.�:.:;..�'.� Date.......�...- / <br />................................19.. <</ <br />7nstall ...............................inch water service pipe <br />For..........................__. <br />. ..................................................................................... <br />On .......:�./..�....,�5..�-'�...<..c.f�J _..........._ ................................. Street <br />...... . <br />Lot.............................................................. Block No..................................... <br />Addition.......................................................................................................... <br />Remarks .............................. <br />.....................--- - <br />..................... <br />_ ............. ........... <br />.............................. ...................... <br />� <br />Superintendent <br />LASOR AND MATERIAL U9ED <br />I� Lcad Connection Complete <br />...........�..........._.. Snddle Complete <br />..................... .................................................... <br />.......................... Scrvicc Cock <br />........................... Service Hox <br />..........Pipe <br />Ne. Hour: L36or ..............................................Coat................................................. <br />Cutin ...................Pavement_._...............X........................ ....._.................Sq. Ft. <br />....................X........................ �� <br />........................ <br />. ..................X........................ �� <br />........................ <br />...................X........................ ,� <br />........................ <br />Tolal .................._...Sq. Ft. <br />— -- <br />Remarks ................................................................ ........................................ <br />. ....... _. .. . _ ......................... ................................... <br />......... ............................................................................................................... <br />OrderRecei�•ed ......................................................................................_... <br />lVork Completed .. .... ... ............................... . \ <br />_ ____..... __ <br />Foreman <br />