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5 ���� - . � <br />w. o. roau a � ��— j�;� /+ <br />CITY OF EVERETT--Water Dept. <br />Application No...,�.�:.:S.::Z�_'. Date..........::�...... �� ......................19_�.`� <br />Install ...............................inch v�ater service pipe <br />For............................. .... ................................................................................. <br />�� <br />On ._ `:��?..�.......:�::G..i!..���a�r: f.�i ..............................._---. Street <br />Lot........... ---......------�- ............................ Block No.........----........................ <br />Addition................ ...............................................................� --..........._....._ <br />Remark: ........................�--......-�----...........--� ._..........................----.................. <br />,, :....:..........:...................... ..._.................................... --........_..----------........ <br />Superintendent <br />LA30R AND MATERIAL USED <br />Lead Connection Com�lete <br />Saddlc Completa <br />_._...Pipe <br />Se:vice Cock <br />Service Box <br />No. Aours Lsbor ..............................................Cost......._........................................... <br />Cutin ....................Pavemcnt....................X........---...........-- -.......................Sq. Pt. <br />....................X........................ ,� <br />........................ <br />....................X........................ �, <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />------ --- <br />Remarks............................................ ............................................................. <br />Order Received ..................... <br />�Vork Completed ................. <br />........ ........... ........ . . .F o r�.� n . . . <br />