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� <br />. . �y�33�_ /�. . <br />w. o. ronw � � / /� `�� �' <br />CITY OF EVERETT--Water Dept. <br />��� j j�� ,. <br />Application No..........'....'........ Date.......:.:":'.i__.::::i .:............ -19-- <br />' 1as a1D ..............................inch water service pipe <br />� Jl. � . <br />For..............................�.2`"yr:4:.:................._...................... <br />On ...............�..7.��---....�.�.a�{.:�-�.-.-..:v:'..r',t..: Street <br /><� 1 � <br />... .... . ................ <br />Lot............................................................. Biock Nc..................................... <br />Adclition.......................................................................................................... <br />Remarks..................................� --...... -- --- __ <br />.................................. . .............................................................. ............... �- <br />Superintendent <br />LAAOR AND hiATERIAL USrD <br />No. I Size <br />Lead Connection Complete <br />Saddlc Completc <br />.....I Servicc Cock <br />..... Service Box <br />......I .. ........... .......... <br />No. Hours Lsbar ..............................................Cost.................................................... <br />Cutin....._....._......Pat�cment ....................X........................ ...............__.....Sq. F't. <br />...................X....................... �� <br />....... _ ............... <br />....................X........................ „ <br />........................ <br />...................X........................ ,� <br />........................ <br />T�tal ........................5q. Ft. <br />— -- -- — <br />----- <br />Remarks ...................... ................................................................................... . <br />OrderRecei��ed ..............................................._............................................... <br />\Vork Campleted ...................................................................._...................... <br />Poreman <br />