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� �- �/�29�f = , ✓� <br />w: o. ronw a • • � . / � .'� ' . <br />CITY �F EVERETT--Water Dept. <br />�'��,� en ; `� i <br />No..� ..............:::� Date............:......i�rya......................19..._. <br />Tnstall ...............................inch waier service piFe <br />� � . . . . �. ,_ <br />For _.�!..1... . �'c � : .+�"TL......._��i. � :=.`..::L..�.s::_! :�:.: :...:..........-_. <br />, � ......................�•�: / <br />On .....k.:.C...L...:%......_�.Z'_-..c.::,_E:�..._......_._ ........................ Street <br />Lot........................................................� ... Block No......._............................. <br />A!iciition ....... ................................................................................................ <br />Remarks.............................�----........._---..................................---...._........... <br />_ ..................... ............. <br />7 .! , � �. / <br />1 '��'Y.--.....i-._ �-..G;�.1�......_ .................._...--'.. ............_.............. <br />..... t'............ �?�. - SuPcrinlendent <br />No. <br />� <br />LA60R AhD �1ATERIAL USED <br />:.,ead Connection Complete <br />Saddlc Complete <br />Secvicr Cock <br />Servicc Dax <br />� <br />._ ............... <br />.................. <br />No. liours I.abor.........._.---......._ .....................cosr................_.........................._....... <br />Cutin......_...........Pavemcat....._ .............X.............._........ ...._.............__ S4. Ft. <br />....................X....................... �� <br />..................... ... <br />....................X_._................... ..._......_.. _........ <br />�� <br />....................X........................ �� <br />Total ......................Sq. Ft. <br />-- --- - <br />Remar s ........................................................... ............ <br />................. ................ <br />--- -- ............. ... ............................................... <br />.................................................................................. <br />OrderReceived._ ....................................._....... _...... <br />\Vark Campleled ......................_............. _..._......... <br />Fcrema� <br />