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w. o. roA/,+� �/� � � .�C� / . <br /> CITY OF EVERETT--Water Dept. <br /> Applicatiun No...:::...::..:..��.1.. Date...........--_�....._%.....................19.._s." ."; � <br /> � Install_........................... .inch water service pipe <br /> For .r_...:'.::::�_......_....1..:::�:::.:::.................. ._..._...................................... <br /> _ , . ._, <br /> On ..........._`.......::G.:::.:....................::..:.:.....::.................................... Street <br /> ��/G ._........... Block No..................................... <br /> Lot.............. ............................... <br /> :�ddition .....................................;................... ....... <br /> .......................... <br /> Remarks � .:.:.::..:._:.,:..:, �...:.:................................. <br /> ....................................� <br /> .............................. ..................................... ............................................. <br /> .......... ...................... .................................................�---............... <br /> ......................................................................................... ............................ <br /> . -........ � <br /> ...............................................................................................SuPerintendent <br /> LABOR ANU hiATCRIAL USF.D <br /> No. Size � _____ <br /> ... ......................................._.....I Lcad Connection Complete <br /> ..................................................... <br /> � Saddle Completc <br /> .......................ft.. .I .._..._.......__...._..............................................Pipc <br /> ......................... <br /> . ............ Scrvice Cock <br /> ......................................... <br /> ..................................... <br /> ................. Scr�ice Box <br /> No. Aours Labor......................................Cost........................................---......... <br /> Cutin....................Pavensnt._..�..............X........................ ........................Sq.Ft. <br /> ............_.._.X........................ .........--............ <br /> �� <br /> ....................X........................ ........................ <br /> ,� <br /> ....................7C........................ ............. <br /> ........... �� <br /> Total ............_..........Sq.Fl. <br /> =------. <br /> P.emarks............................................................................................................. <br /> ... .._..................................................................._................................................. <br /> ............................................................................................................................. <br /> OrderRecci�•ed................................:............................................................. � <br /> \Vork Camplcted........................_......_..............._........................._._....... <br /> Foreman <br />