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: :> <br /> :� .: <br /> - . ��' 7S9 . _ . <br /> �.�r ��� <br /> w. o, ronr. <br /> CITY OF EVERETT--Water Dept. <br /> Application Na!__�.....�'..:�..:/ Date...........��.......�............._........19..�.: . <br /> - � Install_...... .... ; inch water service pipe <br /> ......... .. <br /> , . <br /> For ..... •. t 1e_sL.'.ci.�'"...... ..:<..:~J..i...._......................................... <br /> �.�....�.... . <br /> � _" ' <br /> On ..........::....../...:1..[..<,!...........:.i.............._�� .--.:..:............----...... Slreet <br /> Lot................. .......................................... Block No..............----................... <br /> Addition ... ......................................................_.....,..,�................................... <br /> Remarks � . - � � <br /> ..............._.............G._�._.....,..;:_�....:...�.:,:.,..�.......----................. <br /> ...................................................................................................................•----•--• <br /> ........................................................................................................................... <br /> ........................................................................................................................ <br /> ............................................................................................................................ <br /> Superintendent <br /> LABOR A7�D MATERIAL USED <br /> _No_ _� Size_ I _ _ <br /> I...........................'.......................... Lead Connection Complete <br /> ........................................._.......... Saddle Complete <br /> .......................ft............................ .......................................................................Pi Pc <br /> .................................................... Scrvicc Cock <br /> ...................................................._ Ser�ice Bex <br /> No. Hours L�bor..............................................Cost................................................... <br /> Cutin........._.....__PavemenL...................X........................ ........................Sq.Ft. <br /> ....................X........................ �, <br /> ........................ <br /> ....................X........................ �. <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Tolal ........................Sq.Ft. <br /> -------- ----- — <br /> Remarks............................................................................................................ <br /> ......................................................................................................................... <br /> ............................................................................................................................. <br /> Orderhecciced ._............................................. ............................................. <br /> \Vork Ccmpleted...................................................................................... . � <br /> Foreman <br /> —+e: .. - . _. . . .; <br />