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w. L.•IONM[S ~�I � � � • , �� � `� <br />CITY OF EVERETT--Water Dept. <br />��� .;� �T �-.� ,! � :� � <br />Application No .......:.........1:..... �,D"a/te.._.........-�---::..-�----...................19...... <br />4 Install......:1!�:........... !:.inch water service pipe <br />For ......., <br />On......... <br />Lot..... �.. <br />Adrlition <br />??emarks <br />� � t-1 _ -- - ------�--- Street <br />r- <br />LkBOR AND MATERIAL U�3ED <br />Lcad Connection Complete <br />Saddlc Complete <br />Servicc Cock <br />Service IIox <br />No. Hours Labor .............................................c;os[..........._....._................................ <br />Culin ...................Pavement....................X......._............... ......._......_.......SQ. Ft. <br />............. X............... ---..... . � <br />...... ..._.._... <br />....................X.................._... �� <br />........................ <br />....................X........................ ........................ <br />�� <br />OrderRece•ived._ ..................................../.....�................L..:1Z..................... <br />\Vork Completed....��:�...':.�'._...r...:..'.l.....- :............/.............Foreman... / � <br />