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9'�PHIChC 3M 03 33� �� � J ��� � <br />w. o. ronH � <br />CITY OF EVERETT— VJater Dept. <br />_ _ �, ,:- � <br />,, � � , <br />P.pplication No ....:...::...:_".'. Date.........::.l.�.t,:.1.(.i...._�......_--.19..�!.' <br />Install ..............._.........�.�inch water service pipe <br />r•��• ............_.... ....... . . ..�......... .....-- ... <br />�/ .... ... .. .. <br />On .._>.{...��........c":'{<G��...�....'...._............_......... Street <br />Lot............................................. ............. Block 1Vo...._.._....---...................... <br />Adilition................................................ ...................................................... <br />Remarks............................ -- ............................. - ...... - .......-- - - - <br />.... .. .. .. . .... . .. .. .. . ........ ............................. ....... ...... ........ . .. .. ..... <br />Superintendent <br />LABOR AND hSATERIAL USED <br />Lead Connection Complete <br />Saddlc Completc <br />................................................... <br />Sen�ire Cocic <br />Servicc Box <br />No. Aours L�bor ..............................................Cost....---............................................. <br />Cutin ....................Pavement.---................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />....... _ ............... <br />....................X........................ ,� <br />....... - ............... <br />....................X........................ „ <br />.. ..................... <br />Total ..... .... Sq. Ft. <br />— — ---'-- ----- <br />P.e�narks .................................................................................. ....... ... <br />Order 2eceiced .................................... <br />\Vor�: Completed ................................. <br />............... ................... <br />..... .�.........Roreman� � � <br />