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/�'�.✓�'� -;, ., � �' <br />w. o. ronr+ o � ' ' , =� <br />CI'i Y OF EVERETT--Water �pt. <br />. -, ,/ <br />Application No......_�:. ���... Date......_�'.....-� ..........................9�a:� <br />Install .............................. .ir.ch water service pipe <br />For.................................................................................................................... <br />� � .� <br />On ....._G:..—�:x........,�'��r�',/..:!;:.'-�=:a.� .............................. Street <br />l <br />Lot.............................................................. Block No.......-�------...................... <br />Adciition......................................................................................................... <br />Remarks......... .....................................� - .............................._..................... <br />......................................... ._...........- --........................... <br />.. ... ................................. ................................................ <br />......................... .... ... ............................................ <br />LABOR AND MATEftIAL USED <br />Size <br />...................................... :..ead Conneclion Complete <br />....................................... Saddlc C�mplete <br />.......ft ............................ ......................................................... <br />..................................... Scrvice Cock <br />............................:......... Service IIox <br />Superintendent <br />No. Hours Labor ................................... ........Cost.................................................... <br />Cutin ...................Pavement............._.._.X........................ ...._..................Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />v �� <br />Total ........................Sq. Fl. <br />- -- — — — <br />Remarks...................... ........................................................ .......................... <br />Order Received....... <br />�`Jork Completed ..... <br />� <br />i <br />Forer,•an,/ <br />