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_ ����� - . _ 3- <br />W. D. IOIIM ] <br />CITY OF EVERETT--Water <br />qn�� < <br />Dept. <br />� <br />ApplicationNo..��:.T7�:.. Date ............:�'..�.�--......................19.�.`� <br />7nstall ...............................inch water service pipe <br />For .......................�:�........................_.�,.................... <br />..................................... <br />On .....� �C...�....:�'�:t ��,i ,; r<<r,...�...� ................................ Street <br />Addition <br />Remarks <br />BlockNo ..................................... <br />LABOB AND MATEBIAI' II3ED <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Boz <br />Superintendent <br />No. Hours Labar ...............................................,..�.....................-------- <br />........................Sq. Ft. <br />Cutin ....................Pavement...................X....................... �. <br />................... X....................---. ....... _............... <br />................... <br />X ........................ ........................ .� <br />Total ........................Sq. Ft. <br />....._-'--- .. <br />OrderReceived ............................................................................................... <br />�Vork Completed ..........................................................................Foreman... <br />� <br />