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// �/� .�id.S- .3ccc �' <br />w. o. ro�r o <br />� CITY OF EVERETT--Water Dept. <br />I7�1 i:� 3-.!:..ia_4�l <br />.. . . <br />Application No .......... ....... <br />.... a e .......................... . .. . .. . . . . . <br />lnstall .............................. .inch water service pfpe <br />For .......................... ...................�.......................................... <br />...................... <br />n ........................................ Street <br />On .........�.�..� .............�.'.:�-.....�.'�.'..`.:�.: <br />. . - .... Block No ..................................... <br />Addition .......................... <br />........................................................... <br />Rema�ks .... .....�j <br />................._I':�U..:Lv:..:......._..........._......_.._ ......_........................_........... <br />.......................................................................................... <br />...........:................ ....._.... ...................... <br />LABOR AND MATENIAL II9ED <br />Leod Connection Complete <br />Saddle Complele <br />_ ..................... .............................. <br />............Pipe <br />Service C� <br />Service Box <br />No. Houra Lsbor .............................................c;oet................................................... <br />........................54. Ft. <br />Cut1n ...................Pavement....................X........................ .� <br />....................X........................ ......._............... <br />....................7C....................... <br />. ....................... �� <br />....................X........................ <br />........................ �� <br />Total ........................Sq. Ft. <br />- <br />Remarks............................................................................................................ <br />.................................... ............................................. <br />OrderReceived ......................................................................................... .. .. / <br />_ ..__.... <br />����� Foreman <br />\Vork Completed ...................................................... <br />