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w. oeronw a ����� • %' •\ // C=' <br />CITY OF EVERETT--Water Dept. <br />Application No...��..:.:::;:'5... Date ............::'...`:� n,� .1 <br />......................1., ..., <br />I�stall ...............................iuct wnter service pipe <br />Far...................... ..... .� ........ .......................................................................... <br />On .....:�5�..`.-�...✓�:.....,(�';z, -i .............. .. Street <br />............. .... ....................... <br />Lot.............................................................. Block No..................................... <br />Addition.......................................................................................................... <br />Remarks.......................................................................................................... <br />Superintendent <br />� LABOR AAiD ATAiER1AL USGD <br />r�o. <br />.........._. Lcad Connectiur Complete <br />............. Saddle Complete <br />............. ................................................... <br />............. Service Cock <br />............. Scrvice Aox <br />No. Hours Labor ..............................................Cost.................................................... <br />Cutin........._.........Yavenunt ....................Y........................ ......................_Sq. Ft. <br />....................X............... ...... ........................ .� <br />....................X................. .� <br />. ...... ........................ <br />. <br />.................... ........................ ........................ <br />' Tatal ........................Sq. Ft. <br />-- ----- — <br />Remarks ......................................................................................................... .... <br />..................................... _................_..........._. <br />OrderReceiced ............................................................................................... <br />\Vork Completed ............................................................................................ <br />Fareman <br />� <br />