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/� I V� .� �k — 3lil <br />w. o. ro�r a � <br />� "CITY OF EVERETT--Water Dept. <br />Applicetion No...�_7`�.�.3.... Date ................................�:..L.:..19..%.y <br />Install .............................. .incli water service pipe <br />For.......'¢: �. r .............................. ......................................................... <br />�t � e�-F'% �t'-*-.C- Street <br />On ........ � ..... ......... ...: n..................................................................... <br />Lot............................................................. Block No.................................... <br />Addition......................................................................................................... <br />Remarks ...b.�.j. . . . . . . . . . . . <br />.. <br />.. ............... ..... ... ....................... .. .... ...... ... <br />....................1.� .. �.: ......................................................................................_... <br />.................................... ....................................................... .........................��-•--- <br />_ .... ...... .............. ......................................... _............... .. .�.: ....». <br />............................................................. ��1..:..�_._........._. <br />................. Runerinteeden� <br />LABOR AND MATERIAL USED <br />,,,,,,,,,,,,,,,,,_,,............ _ ............... Lend Connertlon Complete <br />.......................... ........................ Saddle Complele <br />..................1t.......................... .................................................. <br />........................................ ............. Servlce Cock <br />...__..----..._ . ........................... Servlco Box <br />No. Hourn Lsbor ............................................Coet...................:............................... <br />C:ut In ............... ....Pavement.. .................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />....... _ ............... <br />....................X........................ �� <br />........................ <br />....................X........................ �, <br />........................ <br />Total ........................Sq. Ft. <br />�. �, .�...��__ --^— — <br />Remarks........... ................................................................................................. <br />....................... ................................. . _.................. <br />.................. - - - _ <br />OrderRecefved ................... .__.............._._...................... _..__....... ......... <br />�Vork Completed ........................................... ............................................ / <br />Foremnn <br />