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� <br />� ' �Qp���/'�_ � <br />w. o. ronw o ` \ � ��/ � / <br />CIT �' OF EVERETT--Wat�r Dept. <br />ApplicationNo..�l�>`'�.�. Date ...........::�'....-�...................._19.��/ <br />Install...._ .........................inch water service pipe <br />For................................. . <br />- . . . . ............. <br />-' ........... .............. ........ ..... ... .......... .... .. <br />- <br />On ....._...�:�!.<.:......._�c2�-:�: �-�.i ........................ Street <br />Lot.................................................. .......... Block No.....---............................. <br />.9ddition <br />........................................................... .............................................. <br />Remarks .....----.------ __ <br />Superintendent <br />LACtOR AND MATERIAL USED <br />No. i Size I <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />No. Hours Labor ..............................................Cost.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. F[. <br />....................X........................ ,� <br />........................ <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />-- Total ......................_Sq. Ft. <br />'---- --- — <br />Remarks ................................. -- <br />Order Recei�:ed .......................... <br />�Vork Completed ...................... <br />Foreman �� � <br />� <br />