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� y S%�� - z-;,- - �,�� c� <br />•'. O. (OPM ] <br />CITY OF EVERETT--Water Dept. <br />Application N, . ... �7. � �. ��. .!. Datc........._ �... : �--....�:_.`./ ........_1�...... <br />Iastali ... .......................... .inch water ,ervice pipe <br />For.......................-- �—..........._......:...._............._.................................-----•- <br />�i.2 �;�,c_.�%�-:�F-��� Street <br />On ........................��.......... . .---.._...........................................---�� ---- <br />Lot..._ ....................................� .................. Block No........._-------...------....... <br />Addition................ ........ ......................................................................... <br />Remarks......................................................... <br />Lel1TVlL RiVU lYlA'1'Cl(lAL IJCU <br />?.ead Coanection Complete <br />Saddle Complete <br />.......................... ...........................I ..... ......................... <br />....._ ..............................._.............., Servicc Cock ' <br />..............................._......._........._� Ser•vice Box <br />No. Hours Labor ..............................................Cost................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ ,� <br />........................ <br />....................X........................ �, <br />........................ <br />....................X........................ „ <br />........................ <br />Total ........................Sq. Ft. <br />-- `�---- ---- <br />Re m a r;t s .................................................................... .......... ....... ...... ............ <br />Order Receieed...... <br />Nark Completed... <br />Foreman <br />