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ropm 3 <br />CITY OF EVERETT,-Water <br />Dept. <br />Application . Date ....... ...................... lg,.v <br />Install...... <br />.. Oq / <br />.... water service pipe <br />For ......... <br />...... .... On .................. ;2..y .. e..7 ........ ��_.X&. . <br />Lot........./ .. .................... ....... .... . . ....... Block No........_.._.-_.._......_.... <br />-eZ_ 6C z <br />Addition ... ....... Gee......& . .......... <br />Remarks <br />............... .................... ) ...... 1-4 ..... Wf?--* C/ ..................... . ........ . ...... . .. . . . . . <br />.............................. > .......... ............................... . .................. .... .. . .. <br />Lvad Connection Complete <br />SadSVe Complete <br />........................................Pipe <br />�e ile ?oc <br />Service Box <br />No. Hours Labor ..............................................Cost......._.... <br />Cut in .................... PavemcnL ................... X ........................ <br />.............. ............... ... . ... <br />.................... x ........................ <br />.................... ........................ <br />Total <br />....... . .. . ........... Sq. Ft. <br />11 <br />....................... <br />........................ <br />........................ Sq. Ft. <br />........................... ... ... . ............................................. . ... .......... - <br />OrderReceived ............................................................................................... <br />..... <br />Work Completed ... Y ..... 2-:6y ... .............. � For ........... <br />Foreman <br />