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/5�38 ��-��G. <br />w. o. ronH a // <br />� ~ CITY OF EVER�TT--Water Dept� <br />Application No.���'.,�.15 Date .............��.-.:l / <br />........................19...C� �Z <br />I. all ....... ......... �inch water service pipe <br />/ i , , I <br />For .. ��.l.`:rL.`.1..>s: ::.......�{.' �'...t./ .........................._......._-----.. <br />� -; <br />On ..........1�..�:>2.�5..._Ct.�-�:...:t�..I.....__......_ ........................Street <br />Lot............_--• - ................................... c%.. Block No..---�-----.._...... ........... <br />Addition__....._ ..............._......................- ............... <br />Remar}s ....-� - -- - - — -- - -- . _ � <br />Superintendeut <br />Sixe <br />LABOR AND MATERIAL USED <br />Lcad Connection Complete <br />Saddlc Compl�te <br />� <br />............. Sr.rvice Cock <br />......_..... Ser�ice IIox <br />..........................�...........................I ..................... ....................................................................................... <br />...................._.... .......................... ...................... ._......................... _......................................_....... _.......... <br />No. Iiours L�abor ..............................................Cost................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Fl. <br />....................X........................ �� <br />....... _ ............... <br />....................X........................ �� <br />....................... . <br />....................X........................ �� <br />........................ <br />Total ........_ ............ .Sq. Fl. <br />------ ---- ---- <br />Remarks ........................................................... ............................................... <br />OrderRecciced ......................................................................................... <br />�Vork Completed....._.........__ ........................._........................__............ . <br />Foreman <br />