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_., <br />.. 0. :o.� �� G / 32� _ � '. : <br />CITY OF EVERETT--Water Dept. <br />Application No... ./....G��... :'.: Date........:.�: � �y ...............18�..?� <br />7nsta1l..._� ......................inch water service pipe <br />, � <br />For , ; .; <br />, .. - . , ..r i_,,., <br />...........:...........�............:.....:..................""".............:.:........f.....:.f.... . ... �. <br />� , nt��i <br />_ S�ti o 3 � �� <br />On ..........:...........................s_�.:r.:..-x..�......................-----................... Street <br />Lot..............................._..............-•-------...... Block No...................._............_._ <br />Addition.......................................................................................................... <br />Remarks "'" . , - - <br />........--�----.....----•-=:-` ..:...................................-•--.................----......... <br />................Y:::.:...,.-/,::-:�...: �............---......---......................---..........--�----...----- <br />Superintend S <br />AND MATERIAL Q3ED <br />Lead Connection Complete <br />Saddle Complete <br />...�...4: , ...��.::.r ...........................................Pipe <br />Serv' ock <br />Service Box <br />No. Hours Labor ..............................................Cost................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />� �2 .C°.c..l+.c�i' .....................X........................ ......._............... �� <br />� __._.... .. .X ............. - - — <br />�� <br />........................ �� <br />........................... � .....�:1:�.QM.--.....:..................................................----......... <br />OrderReceived ............................................................. ... ................` <br />p n.n.4:r.......... \ <br />. %.. y <br />�Vork Cotn leted..�._-.�.�....-. �..�� .............. .........C.t" <br />Forem�n <br />