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w. o. nn��� � � • <br />• - • C1TY OF EVERETT--Water Dept. <br />- _ -.,, ,. ; � <br />Application No<.....::.� �..'.;i..:: ,Date .....::.::..:......_:..:::. -. <br />� .....:.C.......... .19 C. ) <br />- lnstall.........�...= :........::...u}ch water service pipe <br />r /l ' = � , , <br />� <br />; , .. , i' �.. �� . �- !!. <br />_ <br />.. <br />, . .. <br />For ..:_Cc :.::..:.........:...a�_. . �....l....,::...._.�......_t....�............................----.... <br />, -• , _, <br />�;��,.;_. -:...�` c. ,. ..L..�.���.....1�`�.L.....::. Street <br />' �`' ' / <br />n ............................ . . <br />..._�.....: �....I ......:......... ........ <br />Lot........ ............................................ .:... Block No.......,.. �--.........._........... <br />:ldciitien . � ........................:......................................�---�--.............. <br />....�.:... .. . <br />. ... <br />Remarks � ��"'e.tc� '.; �..." ...:......:............................................... <br />.......� .. ............................. <br />............. ........................ L <br />� ;,- � . �� Suherintendent <br />LABOR AND MATERIAL USED <br />:.ead Connection Complete <br />Saddlc Complete <br />. ...:....:.�.:...: ' �Service Cock <br />.................... Scrvice Hox <br />No. Hours Labo� ..............................................(;ost.................................................... <br />Cutin ....................Pavement ...................X........................ ........................Sq. Ft. <br />� � ....................X........................ .� <br />, . ......._ ...... .. <br />v u <br />....................X........................ ........................ <br />u <br />Total ........................Sq. Ft. <br />. ............................ ................................""--------_ _ <br />OrderRecei��ed ............................................................................................... <br />\Vork Campleted ....:.........................................:..::...................:..................... <br />Farcman <br />