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/ 7�/0 <br />.� � �— :3�s� <br />w. o. ro�w a <br />- ' CITY OF EVERET.T--Water Dept. '� <br />Appltcation No...�7�1.�.�..... Date ................................3-.�.'..i9..�.'� <br />Install ............................. .inch water servlce pipe <br />For....................... . ................... <br />.......................... <br />7 [� 5 �_�.G,�-l- <br />On ................................................_r;'.:.'.t.:.................. <br />Lot............................................................. Block N: <br />Addition.............................................. <br />....................... <br />Remarks... ......... ..................................... <br />........... <br />.................. ...:. � • �. . <br />................................................................ <br />...............................- --_ - <br />Street <br />........ ..................................................................................... ..... .... ....l, _....... <br />... .... .... ..................... ... . .............. .........................�i': .�. �. �'1:+. - <br />� Supqrinippden� <br />_ J /Y!J <br />WBOR AND MATERIAL UBED <br />No. Slze <br />Lcod Connection Complele <br />Snddle Compiete <br />.................. ..........__................., <br />Servlce Coek <br />Service Hnx <br />� <br />No Houre Labor ..............................................Cost............ <br />Cut In ....................Pevemrnt....................X........................ <br />......................Sq. Ft. <br />....._ ............... �� <br />...................... �� <br />--..__...........__. ....................... ........................ �� <br />Total ........................Sq. Ft. <br />Remarks ............................................................................................................ <br />................ ......................................................................................................... <br />.......................................................... <br />Order Received ............................ <br />\Vork Campleted ......................... <br />_ ........ ................ ......... .. <br />Foremen / <br />