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� � /,�D.�/ - , <br />w. o. .o,� � 7 - �r r. •/ �� <br />CITY OF EVERETT--Water Dept. <br />Application No._/..I.c''..�.�... Date....::�....�.:. �:..`%........_-----..19...--- <br />. .... . <br />Install ...............................i:icit water service pipe <br />Fer.............._Zo ..._...........,......_............./'...... ...................... ------ ........... <br />On.......--� ....-�--�� ��------.��t.�•�.._�._!.�' ...:............................. Street <br />Lot....................................................._....... 231ruk I�'o..................................... <br />AdJ.ition .......................................�•---..................................................._. <br />........ <br />Remarks -----....._ .............- - -- _ _ <br />No. I Size <br />LABOR AND MA7'ERU1L <br />:.ead Cnnnection Complete <br />Saddlc Completc <br />...............................Pipc <br />..................................................... Scrvice Cock <br />...................................................... Scrvicc Box <br />No. Hnurs Labor ..............................................Cost.................................................... <br />Cut in ....................Favement....................X........................ <br />........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />...................X........................ ,� <br />......._ ............... <br />....................X....................... �, <br />........................ <br />Total ........................Sq. Ft. <br />-- — — <br />Remarks .................................................................. .......................................... <br />..........._ ..................................................................... ......................... ...-- <br />OrderReceived .......................................................................................... �-�• � <br />1VorkCamplcted ........................................................................................... <br />F'oreman <br />