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.�! 38G <br />J <br />w. o. ro�w o '-�' /�:%_�... <br />. CI�"Y OF EVERETT'--Water i7ept. <br />, , <br />_. <br />Applicatiou xo........G .'.�.f �: Date......::'......� .........................is�.S� <br />Install............_ .......... .....Lir,h watar service pipe <br />For...................,......................................_..............._................................ <br />On ..._�--.'�..�..�.._ ✓�2v,�;.c �,'?.,J.---� :............................................. Street <br />�. <br />Lot....................................................._..... Block No............. _.................... <br />A�iclition ......................................................................................................... <br />Remarks.......................................... ...................................._..................... <br />.......................................... ......................................... .............................. <br />.................. ............................................................................................. ...... <br />............................................................................................................... ...... <br />............................. ............................................ ................................ <br />Superinlendent <br />LABOR AND MATERIAL US�D <br />Lead Cunnectlon Complete <br />Snddle Complele <br />................................................... <br />Service Cock <br />Scrvicc Box <br />........................................._....... .. <br />......................�...�........................� .............................................................................................................. <br />No. Haurs L3bor ..............................................Coat.................................................... <br />Cut�u............_......Pav.mant.__..._..........X ....................... ........__...........S9.b't. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />.X .............. �, <br />._ ................ .......... ........................ <br />Total ........................Sq. Ft. <br />, — -- — <br />Reriarks .......................................................................... ................................. <br />_ .......... . ................... ............. ................... ................................................. <br />..... ...................................................................................................._....., ..... <br />OrderRecei:ed ............................................................................................... 1 <br />lVorkComplMed ...................................._........ __ .. _ ......... ........_ _ . <br />R reman <br />PiPe <br />