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a <br />j'j <br />r4 � <br />w. o. ronH a / ���� ��.. .� /�daLl <br />� CITY OF EVERETT=-Ware� Dept. <br />. � - , <br />Application No./...I.:= -�:...:: .... Datc........ � �..:: �:: � �--...._...--...19...... <br />Install ...............................inch water ser��ice pipe <br />For..................................................................... <br />... ......................................... <br />,o _> � ,- .�� � , <br />On ... ......./..::_'.l._�....._:-;:c���.,c�iL....�:;.•,��.1:ci..--'.:C�:-.. Street <br />Lot..................................................•--........ Blocic No......-------�---..........--�--- <br />Addition ...................................... <br />Remarks............................... ..��-� <br />. . . . ... . . . ..... .... ... .... .......... .. ...... ............... ... .. . ... .. <br />� .i <br />_ ...... ......................... ............._.........................I�_/ :i.lft-'- <br />Supenntendcnt <br />— , �= <br />LABOR AND btASERIAL USED <br />No. i S�ze I <br />Lcad Connection Complete <br />Saddlc Complcle <br />.................................................... <br />Service Cock <br />Servicc Box <br />�.,:�..: � No. Hours Labor ..............................................CosL.............................._.....--.._--.... <br />.�c_ ... Cut in..._ ...............Pavement....................X........................ ........................Sq. Ft. <br />` �' - ..........._.......X ........................ �� <br />... -- _ ............... <br />....................X........................ �� <br />. ................... ..... <br />....................X.................. �� <br />........................ <br />Total ........................Sq. Ft. <br />------ — <br />Remarks.......................................................... _ <br />OrderReceived ................................................................................. <br />...._... <br />�Vor)c Campleted ................................................................................ <br />...... <br />Fore an <br />C� <br />