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._ _ ._�/ _ <br />w. o. roaH ���/ I 1 l.� ✓!/ . . �j/ / r� <br />_ / O <br />CITY OF EVERETT--Water Dept. <br />Application Nq�....�-... � .... �'� �._...../..� ..............�--.19..`.-�� <br />�f .. Date ...............�- <br />lastall......._/...fr.....-.--.inch water service pipe <br />,, <br />- =� , -;.�1-'-`->..` ::sL <br />For ....... --C....... ..__....,.....__ .......................-----------...... <br />On .---�--=,.:1-.E/%._�:!<: t:f�::..,:!'s:� .............�------- Street <br />Lot_- ..............-----�-----•--------...._-------- Block No...---�--......--�----...---�--..._ <br />A�idition .....................----•-------�------ -�- -......._ .........---•----................. <br />Remarks ._�'�i?.=.�t.i:<�l4.._- .............--_ <br />LABOR AI�D MATERIAL USED <br />DIo. ' Size � <br />......._ ......................._........_I Lead Connection Complete <br />............................................... Saddle ComPiete <br />.'._...:::...._ft........_ .................. ...: L............:...._........_..................................Pipe <br />......................._....._.._........_ Service Cock <br />---------- ----'-..1_:._....... Scrvice Box <br />No. Aours Labor ..............................................l;ost-'---.......----............................._..... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X....................... „ <br />...--- ............... <br />....................X....----................ .� <br />....... _ ............... <br />....................X........................ �� <br />......... _.... _------' <br />Totel ........................Sq. Ft. <br />Remarks._:: ..:_:--'-- ............. ^ _�--- ..:.. ----........:.::...:..:_'..:::_' ....._.._. ... <br />Order Received........._. <br />1Vnrk Completed..�... <br />�:..:.._ .......................'........'.. ---..... .........�.... / <br />' Foreman �� <br />