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w. o. ronH o ����� . � � ^ �/ . <br /> CITY OF EVERETT..VUater Dept. <br /> � �/'' � - i <br /> Application No........1...._�--.: Date.......::'..... <br /> .................-...........19.�_`� <br /> 7nstall...............................inch water service pipe <br /> For ............................................................. <br /> � ............................................. ...... <br /> � .. .. <br /> On .........:2L.t.....��...� .: :?.-!'-L.G:rt._..................................... StreeE <br /> ... . <br /> . .,... <br /> Lot.....................................:....................... Block TTo....................--........--••-- <br /> Addition ................................... <br /> ...................................................................... <br /> Remarlcs ......................................................................... <br /> ........................................................................................�-�---• <br /> ...........................................� .............._...............................---• <br /> .................................................................................. <br /> .............................................................................................. <br /> Superintendent <br /> � L�1BOR AND MATERIAL USED <br /> ilo. ' Size � . <br /> :�- �� � �Lead Connection Complete <br /> �-, Sadd]c Comp]ete <br /> ...................ft.l........................... <br /> ......... ...................... .......p;�� <br /> ........................ <br /> ...................................................._ Service Cock <br /> ......................................_ . Servicc Box <br /> .............. <br /> .......................................... <br /> ............... <br /> No. F.'�ur: Labor..............................................Cost................. <br /> ................................... <br /> ut in....................Favement....................X........................ <br /> ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X....................... �� <br /> . ........................ <br /> ....................X........................ �� <br /> ........................ <br /> — _ Total ........................Sq.Ft. <br /> ---�------ <br /> Remarks............... — <br /> ............................................................................................ <br /> ................................................................................................. <br /> ...........................................................................................................................�� ! <br /> OrderReccived.........................................................:.................................... <br /> �Vark Campleted.................................................... <br /> ................................... <br /> Foreman <br />