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. . i�,s,�- � <br />W. U. IORM p � . _) _ � /// <br />CITY OF EVERETT--Water Dept. <br />/� < <-<-- ; -� � <br />Application .No...l...:. _-.t:�.'... Date ........:.::....................................19.�::� <br />Install ...............................inch water service pipe <br />For..........................:�..................................................................................... <br />On .....C::�s�"�....��::.^.:�...'�"f�-rt..-' ................................ Stmet <br />�: _........ '.. . <br />Lot.............................................................. Block No..................................... <br />Acidition.......................... ................................ <br />............................................. <br />Remarks ...._..._..__ <br />� <br />Superintendent <br />I,ABOA AND MATERIAL USED <br />No. Size ! <br />Lead Connection Complete <br />Saddlc Cumplete <br />Service Cock <br />Seruice Box <br />No. Aours Labor ..............................................Cost................................................... <br />Cutin ....................Favement....................X........................ ........................Sq. F�. <br />....................X........................ ,� <br />........................ <br />....................X........................ �� <br />........................ <br />....................X........................ „ <br />........................ <br />Total........................Sq. Ft. <br />„ - ---- <br />Remarks..................................... -- <br />........_........ - - <br />- - ................_........... <br />OrderReceiced ....................................................................... ..................... % <br />�, \Vork Completed ...................._.........................................._............. ... <br />�� � F'oreman-.. <br />