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s d. anicoc av � ��' � .... � (� <br />w. o. roam a �� �. �� �T) <br />CITY OF EVERETT--Water Dept. <br />Applicatiun Na...:..,.;: �:;..., ti.. Date.......... �...,.tL:%�.�:�....:._...�....19 :Z1 <br />. <br />7aste�ll .................. ......._; i�ich water service pipe <br />For........ ................ . <br />- c.. .--- .................. . .. .. <br />........................................ <br />... <br />�-�/ j ,� <br />On ..... ::........ .... .... . ._ l.�7:t^Z�.L........ .. : .�............................ Street <br />Lot.............................................................. Block No..................................... <br />^.�t:lition ............_ ................................................_............--.......---- ........... <br />Remarks --...- — - _ __ <br />Size <br />LABOR AND 117ATERIAL USED <br />....................._..........................._.I Lcad Connection Complete <br />... ......_._......._ .................................� Saddlc Completc <br />. . .......................ft............................ ..........._............. <br />......................... <br />..................................................... Scrvice Cock <br />............................................:......... Seiv:ce Box . <br />......................................................� .....................................--��---�---... <br />D'n. Iiours Labor <br />Cut in .................... <br />Superintendent <br />................._.....Sq. Ft. <br />........................ �� <br />........................ �� <br />....................._........................ ........................ �� <br />Total ........................Sq. Ft. <br />— ------- ---- <br />--- _ <br />Remarks.................................................................................. - - ..... - - ..._ <br />........................................... <br />Order Recei��ed ............. <br />\Vork Completed.......... <br />.............. ...Foreman... • <br />