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6 3�� ' � �� � - <br />S.�.Prisba�Ij7A619 � . .� <br />WYD.FormJ � '� <br />CI Y O EVERETT--Water Dept. <br />yr' � � <br />r APP19cation No../�._.....�... .-- �-- �t � ..:..........'-.......�.........--••_-.19...�?.� <br />Install.........:..�./...�........_...inch water service pipe <br />or .............................................. <br />/ � ........................................ <br />On .................�.3.�./........�:�!c.�.�.:. ................---......... Street <br />T.nt - ......................................... Block No.......................----......... <br />Addition <br />Remarks........� . ......................-�------ <br />i n „.. . . _ . _ �7 <br />�1,,.a�c� <br />r !• . <br />Size <br />LABOR AND MATERiAI. IISED <br />Lead Connection Complete <br />Saddie Complete <br />..............Pipe <br />..................... 4ervice Cock <br />..................... uervice Boz <br />No. Hours Labur ..............................................�osi.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ ........................ �� <br />Total ........................Sq. Ft. <br />.................................................................................. ............................................ <br />OrderReceived ....................................��-----..................................................... <br />CvorkCompleted ......................................................................................... <br />Forema <br />-s^ <br />