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/G7o,�, -,S, :,� < <�, <br /> .,I.TY OF EVER�TT=-Water D�pt. <br /> - � '........................�s%� <br /> Application No...��..7�...�.. Date.............�.......... <br /> Install...............................inch water service pipe <br /> For `�..................................................... <br /> ............................... .............. ......... / <br /> /'� ,� I - -t ._�.... �` t!r.t............................. Street <br /> On ...._:'.��..........�._fci..... � <br /> . <br /> Lot...........................................::................ Block No..................................... <br /> Addition .......................................................................................................... <br /> Remarks ........................ <br /> ................................................................................ <br /> ............................................................................................................. ........... <br /> ................. ......................................................................................................•• <br /> ......................................................................................................................... <br /> .. .. ......... .... <br /> ............................................. ................................................._Superintendent <br /> �9� LABOR AND MATERIAL 09ED <br /> No. Size <br /> .... ............................................ Lead Connectlnn Comrlete <br /> ...................................................... unddle ComPlete <br /> .......................ft.................. ... .. ...........................................................Plpe <br /> .......... . . ..... <br /> ..................................................... Service Cock ' <br /> . ........................ Service Box I <br /> ........................... .. <br /> ...................... <br /> ............................. .. ...... ........................................................................................................ <br /> .. <br /> .... <br /> No. Houra Lsbor.............................................. o ............. <br /> ................................... <br /> . ........................59.Fl. <br /> Cut �o....................Pevement....................X........................ �� <br /> ....................X........................ ......._............... <br />�� ....................X. <br /> ...................... ........................ .� <br /> X........................ ........................ �� <br /> ....................Tolel <br /> ......_................Sq.Ft. <br /> Remurks........... .................. .............................................................................. <br /> ............... ....................................................................... ......................... <br /> .................................................................................................................... <br /> OrderReceived.............................................................................................. <br /> \Vork Completed........................................_........... ......................_.._......_. / <br /> Fcreman � <br />