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� i�=���-. . . <br />w. o. ron�.r� • � <br />CITY UF EVERETT,-�Xlater De�pt. � <br />Application No.... ./..:r.'={.`z.�.:: Date ..................:={-!.::1: '7 <br />. .....-- -19.---.. <br />lnstall ...............................;nch water service pipe <br />For......................................... <br />................................................................ . . . � - <br />� � '---- <br />On ....._ ................/,i O • <br />..............._�!�C rL.• �;r<._ �,r� <br />....................... Street <br />Lot .............................................................. Block No........---...................--�--�- <br />Addition ......... <br />r� ............................................................................................ <br />,� <br />Remarks .....::L. �%} .............................................................................•-- <br />� <br />Size <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Comp]ete <br />_ _ ................................................................Pipe <br />���-��... Service Cock <br />��������.... Service Box <br />� <br />���� <br />No. Hours Labor ..............................................Cost............... <br />Cutin ....................Pavement....................X........................ .............................. <br />. .. ... <br />........................Sq. Ft. <br />....................X........................ <br />......._ ............... .� <br />. <br />............ ........................ ,� <br />. ................ --... <br />.................... X........................ <br />._...___ .,�,.� ,� <br />Total ........................Sq. Ft. <br />__----------- <br />Remarks................................................................ <br />......- - <br />......................... <br />Order Received ............... <br />�Vark Completed............ <br />Foreman <br />