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. �r <br />w. a.ronw S' '���� y .- ZS- / L�.-� <br />CITY O�' EVERrTT--Water Dept. <br />Application No..L._� �:5..�.... Date.._...... _ �...-�_:_�::� ............._19._... <br />Install ...............................inch water service pipe <br />Ber................................................ �--........................................................_.._.. <br />�=,.<=- Jii .-r � L, _.,�Y'��........... Street <br />On .. - ......_- ..._._.._...... ......... �..'..__,--._....._.. . <br />Lot................-----................................... Block No... ---.._..................------- <br />�ddition ..._._ ................ ......................_.._..._ ..- - ........ -........... ------ -- <br />Remarks. -.........._...... ---........_.- -� ......._....._ ......................._- .............. <br />j <br />�.iLl. �r._.........----� .. .............._- ..................._....................._ -------- <br />......... _.. . <br />. . .......................... <br />%.:_:..!':a..�. ............. -�-..._........._�_............_.......... .. <br />� � ................... <br />� '2y <br />LASOR AND hiATEAIAL USED <br />Lcad Connection Cmnplete <br />Saddle Completc <br />..__.. _ ...:.........................'--........ ServiceCock <br />................................................. Ser.ice Bux <br />No. Aours Labor .................................. <br />Cut in ....................Yavement............... <br />PiPe <br />.................................... <br />........................Sq. Ft. <br />........................ �� <br />........................ �� <br />....................X................_..... .� <br />........... ............. <br />Tatal .... ..... Sq. Ft. <br />c ----- - <br />Fcemarks.............................................................................................�- ......_...... <br />Order Recei�•ecJ ....................................... <br />\Vnrk Completed ........................._......... <br />.............................-----...-•\- <br />..._........_..�._....--��Forcinan ` <br />