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� -/��"��'� - , ,. ,, � <br />w. o. ronw o /- J�/• , <br />CITY OF EVERETT--Water Dept. <br />/-� : '- � � <br />Application No....�.k..�t,.:_c/ Date...........? .................................._19.<:.'. <br />Install ............................. .inch water service pipe <br />For............................_...................................................................................... <br />On ......1....!.:::.'.? ..............:::..�: ::.'. _.. ......................................... Street <br />.9ddition ....... <br />Remarks ...... <br />...................... <br />No. <br />Block <br />Superintendent <br />�.ABOR AND MATEBIAL USED <br />:.ead Connection Co:nplele <br />Saddlc Camplete <br />.... _..........------- <br />..................................................... 5ervicc Ccck <br />..................................................... Service Box <br />No. Hours Labar ..............................................c;ost.................................................... <br />Culin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />Rem arks ...... ..................................................................................................... <br />......................................................................................................................... <br />.......................................................................................................................... <br />OrderRecei��ed ............................................................................................... � <br />\Vork Completed ............................................................................................ <br />Foreman <br />