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. . i ,���0 ` y �x�'� —' � �� � � <br /> w. o. ro�r a <br /> CITY OF EVERETT--Water Dept. <br /> Application No..��.•�..I..n.. Date...........��._-L..-..�fl...Y:............19...... <br /> 7nsiall...............................inch water setvice pipe <br /> For ............................... - - <br /> �................................................................................ <br /> On ......�'..�3.:�:..... .{ < 3.1.,e.Q/. ......................................... Street <br /> . -•{� <br /> Lot...................................d.�.................. Block No.........-•-----..................... <br /> Addition .......................................................................................................... <br /> Remarks .......................................................................................................... <br /> ............................................................................................................................ <br /> ........ .............................................................................................................. ..... <br /> .................................................................................J.J �-��,���--�---.................. <br /> �C /�� �.-:�i.��_---........ <br /> ..............................................................................................u.. <br /> perint ndent <br /> .(,i.�f <br /> LABOA AND M9TERIAL Q3ED� <br /> No. Size <br /> ----- — <br /> ...................................................... :.ead Cnnnection Complete <br /> ...................................................... Sad:lle Complete <br /> .......................fl............................ ........................................................................Pipe <br /> ...................................................... Service Cock <br /> ...................................................... Service Box . <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ �, <br /> ......._............." <br /> ....................X........................ �� <br /> ........................ <br /> ....................X..............._....... �, <br /> ........................ <br /> Total ........................Sq.Ft. <br /> Remarks...... .................. ................................................................................ <br /> .......................................................................................................................... <br /> ........................................................................................................_.................-- <br /> OrderReceived............................................................. ................................. <br /> \Vork Completed............................................................................................ <br /> Foteman <br />