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(:y: <br />_,.= <br />r�--„i;�.,�;�. �r <br />> <br />t<, } <br />-'a �: <br />A <br />� � r <br />$� k+;*A ��'. <br />�' <br />. .- . ;r:zi' <br />•'� q� �p''�.. <br />w. o. ronw o /�� • �'ur ��_- !�[�.5 � <br />' ' CITY OF EVERETT--Water Dept. <br />Application No...i.l'=.".: ' .. Date.......:' ....:.i.:::!: `i ..................19...... <br />Tnstall ...............................inch water service pipe <br />Fcr....... ...... ...................... .. ......... ......---� <br />: � , .�(� .. . ". - <br />On ...._..L._..�..:?.....::<<;..r.%...::;.:...�'�:�.:�.�::.: ......��...._--- Street <br />Lot._ .........................................._--......._.... Block No....................--------•--- <br />:lddition ....._ ..._-- ....................._............................- - .................--.......... <br />No. <br />....... ..................... .... .. ....._ .�.�..-.�>�::.t.: :c.5.fl... <br />LASOR AND MATERIAL USED <br />Lcad 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 />........................ <br />....................X........................ �, <br />............ ............ <br />....................X........................ �� <br />Total ........................Sq. Ft. <br />Order Received ..................... <br />�Vork Campleted .................. <br />� <br />� <br />.� ......................Foreman � / <br />