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. . Y� _..� .. - ��! ___ _ <br />W. O. IOPM ] /��� ' '.� /i, �` � � <br />CTTY OF EVERETT -Water i�ept. <br />Application No...��:.`�>"-.� Date....::..�'.._.� /�f <br />.............................19..1t.. <br />Install ...............................inch water service pipe <br />F�* <br />� _ ...................... ....................................................... ........................... <br />' ......... <br />On ........�`.'.�....: 1 �.:.1.?..�1.'?:..c. ft <t..:......... �'�, <br />� �� ........................ Street <br />Lot............................................................. Block No.....-•-•-�------..................-- <br />Addition ...... <br />..................................... . <br />.................................................. <br />Remarks .......... <br />� <br />� <br />Superintendent <br />LABOR AND MATEBIAL USED <br />No. � Size i <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />No. Ffourn Labor ..............................................Cost.................................................... <br />Cut in ....................Pavement....................X........................ <br />........................Sq. Ft. <br />....................X........................ ,� <br />........................ <br />....................h ....................... �� <br />........................ <br />....................X....................... �� <br />..................... .. <br />R�....,..L_ _' <br />Total .. .............. Sq. Ft. <br />. .................................................................................................................. .... <br />............................................................................................................................. <br />OrderReceiced ............................................................................................... <br />\Vork Completed ......................._._........................................................--..... <br />Foreman <br />