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as gai[ha > 3 - _ ✓ +_ <br />Wy 0. gOgM a <br />CITY OF EVERETT--Water Dept. <br />Application No... ..3./... ate .................. ..............1.. L9. S Z <br />Install ...... ry .!!......_..inch water service pipe <br />For........... _-....._......................... P. ............. .....__.._._............ _. <br />On ... »...... <br />... d._ --- - ._......._.»---- ».................. _._.._.._ _.._... Street <br />Lot.................. .......... _.............. ___... Block No _.._.._._.._.._.._....... <br />Addition................................_..._......_._................. <br />_._.._....... <br />_........... <br />Remarks...._._.._..........�....».._ ...._..�....___. »._.._»_._......_........ <br />_...... .............................. _.................... ._....... _... _..... _..»_.._...... _.... » .._... <br />........ <br />........... <br />_..... <br />».... <br />........... <br />_... <br />_ ................. <br />No. I Size <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />................... _.............. _...... ... ....................... Pipe <br />Service Cock <br />Service Box <br />No. Hours Labor ............................... ....... ... ». Cost. ...... ...._......... ... _....................... <br />Cutin .................... Pavement .................. X ................... ....................Sq• Ft. <br />..................X.._....._.._..__ _........... <br />.........X............. _.... <br />.............. .... X............ ......... ........................ <br />✓ Total ........................Sq. Ft. <br />Remarks..._ .............................. ................... :.................................................. <br />�........! ..... ........ _....................................................................... <br />......._.....................:...1..._......._.......:._.........................__......._....................----- ! <br />OrderReceived .......... ........ .................................... ................... .................. _.. l <br />WorkCompleted.. ......................... . .................................. .......... Fo . r . --......... / <br />eman <br />