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w. o. ruaw a ' /�I �H o � ' `� ... %� � cl � <br />CITY OF EVERETT--Water Dept, <br />Application No...�G..`<<:::��. Date.........::'.:�.1 ..19.��� <br />........................ <br />Install ......................._......inch water service pipe <br />For...... ....................... ......................... ........................................................ <br />�� // �'j' .. -r...-�<i::.....- ......................... Fitreet <br />On ........: :.:.............. ... ..t-.�':.... . ' <br />Lo t ............. ........................... _� ... <br />............. Block No...................................-- <br />A�dition ......................................................... .............................................. <br />Remarks ...__..._..__ <br />Superintendent <br />LABOR AND MATERIAL USED <br />No. Size I — <br />Lead Connection Complete <br />5. ddle Comptete <br />Service Cock <br />Service Box <br />No. H�urs Labor ..............................................Cost.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />....................X....................... „ <br />........................ <br />Tol�l ........................Sq. Ft. <br />._—___________.__ ' <br />Remsrks ...................................... ......... ..........-- <br />Urder?teceived ................................................................. <br />\Vork Campleted ........................_.........................._........ <br />_ � <br />........ <br />Forcman <br />