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I���I "� >> <j l I �' � <br />w. o. ro�w a <br />CITY OF EVER�:TT--Water Dept. <br />� ' � ........�s.�::' <br />Application No....�.�_.�':':C.: Date.......�c.........._ ..... ....... <br />Install .............................. .Inch K�ater service pipe <br />For................................................:........................... <br />�. ., � , .;�u, � 1�::..... ....................... Street <br />On............:......:..�......:... .............. . . <br />Lot.............................................................. Block No..................................... <br />Adilition........................................................................................................ <br />Remarks......................................................................................................... <br />................... <br />......................... <br />� <br />............ - - <br />............................ <br />............................................. ....... <br />........................................... SuPerintendent <br />� <br />6a LA60R AND MATERIAI. U9ED <br />Lcad Connection Complete <br />............... �Snddle ComPlete <br />... ............................. <br />,._� ............... ScrviceCock <br />.................... Service Soz <br />... <br />. ... ......................................... .... <br />.. ._.........._ ................... <br />............................... <br />.......�..._ .....................� - <br />No. 3ours Lsbor ............................._.._. ...........59.Ft. <br />. .. _._....... Pnvement_ _ ................X...................._.. ............. <br />Cut in.... �� <br />....................X........................ ......._............... <br />......... ..........X........................ <br />........................ �, <br />....................X........................ <br />........................ „ <br />Totel ........................Sq. Ft. <br />- --- _' <br />Re ma rks ......... ........... ...... <br />....................................._..........................._ _......... . <br />.......................................... <br />_........._ __ ....................... <br />. ............ ............ - I <br />OrderReceived ............ .................................................................................. <br />_ ...... _ _... . <br />\Vork Complcted._......._._....... <br />........_..__._._ .................._...... Foreman <br />