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'4. u.M ow. o <br />CITY OF EVERpETT--Water Dept. <br />Application No........... _ <br />der service pipe <br />For ........... ..Ki.... <br />On .......^..:.�. <br />Addition <br />Remarks <br />...... .................... <br />• LAB" <br />t_�...' ..................._....... Street <br />BlockNo .... ......_..................... <br />DBSD <br />.. U&e Gonnechon Complete <br />Sad TaCornpie la <br />Lw'.............................................Pipe <br />. <br />.... Servi e ock <br />....... Service Box <br />No. Hours Labor..............................................Cost................................................. <br />Cutin .................... Pavement.......... .......... X............. ......... .......................SQ. Ft. <br />.......... I ......... X........... a....... ...................... <br />4 rear �9- X.............�........ a <br />X.............' ........ u <br />Total ...._............. .... Sq. Ft. <br />Remarks ............. <br />............ ................................ . �_.. It.L......C.Lt..Fi/.t..t.1Ac. :.... ...................... <br />........................................... <br />OrderI:eceived..................................... ............... ......./................. ... ..... .... ..... <br />Wnrl: Completed_'Y..-.a2--... ;a ................. 7.L. k!.!r ................. <br />Foreman <br />