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��f/�O7 .� i b' —:3 c 8 z- <br />•'. O. IO�M � � <br />� CI"1'Y OF EVERETT--Water Dept. � <br />ApplicationNo...��%.No.S.... Date ..................................�..-./...:..19.�:.y <br />I:�stnll .............................. .inch water service ptpe <br />For.............................. ........................ <br />� Street <br />................................... ... <br />On.......... .. �/...........,��.z �r�....... i!:+'.`..*..-'e' .............................. <br />Lot.............................................................. Block No..................................... <br />A�lditio� .......................................................................................................... <br />Reaiarks .... .. .. . .. . . . .. . . . <br />...... . . . <br />..... <br />`' .. <br />. .. .. . ... .. ....... ... .. .. . .. . ..... ... ...... ..... ... ... <br />..... ................'...'1.:... ........................................................... <br />............................ <br />LABOR AND MATERIAL U9ED <br />.,.....I Lend Connectlon Complete <br />.......i Snddle Complete <br />........................................ ...... .........................PI pe <br />Scrvlce Cock <br />Servlce Box <br />No. Houra Labor .............................................Coat................................................... <br />Culin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................:C...................... ........................ �� <br />...................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />Total .......................Sq. Ft. <br />Remarks .................................................................... ........................................ <br />OrderReceieed . ........................................................................................... <br />\Vork Completed ........................................................................................ <br />Foreman / <br />