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/G78/ �x� <br /> .. o. .a.� , � - .��� � , <br /> � CITY OF EVERETT-Water Dept. <br /> , <br /> � <br /> Applicalion No....,._�:.�:.f. Date....._:.._:.::..� <br /> ..........................19..�'� <br /> Install...............................tnch water service plpe <br /> For ............................ ................... <br /> . . . �......................................................... <br /> On .....� ./...1.�.._�r,(.<j<.:.:��.:.'.��;'... . . <br /> ............................. Street <br /> Lot.............................................................. Block No..................................... <br /> Addition .............................................................. <br /> ........................................... <br /> Remarks ........................................................ <br /> ............ ..................................... <br /> .................................................................................................... <br /> ............................................................... .................................. <br /> ................................................................................................... <br /> ................. ............................................................................... <br /> Superintendent <br /> LABOR AND MATERIAL U9ED <br /> _No. Size <br /> ...................................................._ Leod Connectlon Complete <br /> ............................................ . Soddle Complete <br /> ....... <br /> .......................t t............................ <br /> ............................................................ .....Pipe <br /> ... <br /> ..................................................... Servlce Cock <br /> ...................................................... Servlce Box <br /> ................................ <br /> ...................... <br /> No. Houra Lsbor..............................................Coel........................ <br /> ........................... <br /> ul in....................Pavement....................X........................ <br /> ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ....................... <br /> Totel ........................Sq.Ft. <br /> Remarks............................................................ <br /> ............................................... <br /> . ......................................................................................... <br /> .................................................................................. <br /> ........_........... <br /> OrderReceleed. ........................................................................... <br /> .................. <br /> 1Votk Cnmpleted....................................._.......... . <br /> _......._....._... .. ...... <br /> Foremnn� <br /> .� • <br />