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(X� <br />w. o, ronw � /I ��� � _. ,�� ���� <br />CITY OF EVERETT--Water Dept. <br />Application No...�.��fz�..-��.-'':.. Date...........:'.....�..:.4.:.=r............19...... <br />install .............................. .inch water service pipe <br />. � - �- <br />or ..........................................�......-�---...................................................... .. <br />�/ � ;.� <br />On ....................1..•.�`. � �.:....,1�'..:;:<:.(.::, f :4:::.�::rf�l....l � .!...� ..,Street <br />Lot.............................................................. Block No..................................... <br />Adciition.......................................................................................................... <br />R^marks .......................................................................................................... <br />...............!: ��f..�'.........................................................................................-- <br />............................................................................ ................................................ <br />........................................................................................ ,........j.....-----...... <br />......... <br />=ic-f_�:_<<,r.-..: ;... <br />................................................ . ... �-�--...... <br />............................................. . <br />. Superintend �t <br />. J.I� <br />LABOR A23D 11iATERIAL USCD <br />No. ( Size <br />:.ead Connection Complete <br />Saddle Complete <br />Service Cock <br />Sercicc Box <br />No. Hours Labor ..............................................�oss.................................................... <br />Cutin ....................:avement...................X........................ ........................Sq.Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />....................X........................ .� <br />........................ <br />Total ........................Sq. Ft. <br />Remarks ...... ..................................................................................................... <br />....... .........................-�- - - - - _ <br />OrderReceiced ............................................................................................. <br />\Vork Campleted ............................................................................................ <br />Foreman <br />