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w. o, ronH a� ����� " r_��� rj� —.j! /.j 1i� <br />CITY OF EVERETT— '�ar.a�� Dept. <br />Application No..� 7�_ % C' .... Date .................... ...........:�.-..1..:..19�:.`% <br />Install ...............................inch water service pipe <br />For................................................................................................................ <br />. ._. <br />3 �?..... ....._%a-rLcdriv..... - ................................... Street <br />On ................ <br />Lot.............................................................. Block No........._----.._.....---------- <br />Adciition........ • ........................................................................................... <br />Remarks...... ....... . . . . ... .................... � .........................----.._-- <br />... . . ..... <br />......... .. �..1�:..��'� ..:........... <br />........................................................�--�--.......... <br />- -.... .__ ... ........................... ---- - <br />..................... � �-�:�: �- � -...---... <br />SupGr�t�� ent <br />��ts <br />LABOR AND MATE2IAL USED <br />No. i Size I <br />:.cad Connection Complete <br />Saddle Complete <br />Service Cock <br />Sercice Box <br />No. Rours Labor ..............................................Cost..................................-�---............. <br />Cut in ....................Pavement....................X........................ <br />........................Sq. Ft. <br />....................X......---............... �� <br />........................ <br />' ...................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />Order Eeceived ................................................. <br />\Vor1- Complated .............................................. <br />.............F'oreman .� <br />