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_ _/G�7^ _ �3`;���.� <br />Y <br />w. o. ro�r a <br />CITY OF EVERETI'--Water Dept. <br />ApF!icati� :�o...I..C�'l�./.... Da�e........_.3.:-� ..........................19�.`� <br />Install ...............................inch water service pipe <br />� ..................��...---..... ,.............................................. <br />or .........................../ <br />On ......1�.'.�:...:�7.-f.:..i?::�!-'�!`.:�i:z�.. <br />................................ Street <br />T.nt --��-� .................................. Block No........................---.......... <br />Addition <br />Remarks <br />LA806 e1ND MATEBiAL USED <br />:.ead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />Superintendent <br />No. Aours Labor ......................................._.....a:osi........----........................................ <br />Cutin ....................Pavement...................X........................ ........................Sq. Ft. <br />...................X........................ .� <br />........................ <br />...................X........................ ........................ <br />.� <br />....................7C........................ ........................ ° <br />Total ........................Sq. Ft. <br />OrderReceived ................................................................................................ <br />\Vork Complete6 ..............................................................................�--...........� <br />Foreman <br />