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s ;. r.�:ce+M�.;s:� � � <br />� � <br />w. u ta�m � <br />CITY OF EVERETT--�X�ater Bept. <br />Application ATo...._.... _._......... Date.....__.........--- ........................19.._-- <br />Jus+:all ..............._..._..........inch water service pipe <br />, .. .... ................._.................._........ <br />..........__........._......_.... <br />or ............_....._. . . <br />� <br />p.� ; , _.... <br />Street <br />Lol_._ ...................................._.............._... Block DTo........... ...---............... <br />. <br />r,ddi?ion ........_ ..� ...........................--- ............ j,. .... ........� ....... <br />n � � <br />Remarks ..C:_.�tc�.tf �-:::�%�L t.:;:�..:�_ :�t"..........r�( ........ <br />, <br />— ...._ --"„--.........._�.:...,;:.�--.........-l--......... <br />_� ....:.... _......... _ ............. ... _..... <br />::..,_t .........::.:..:...... . <br />;:......___:..:...: _ . .:.:........: ........... ......_!:.._::----............... <br />�-- - <br />:.....:.._ ................. �....:_.1.........._'. <br />No. I <br />...__..._..._.___ - <br />.. __ .........................._............. <br />....................... f t. ...................... <br />LAISOR AND I1iATECdAL USED <br />Lcad Ccnnec±iun Camplele <br />Saddlc Complete <br />Scrd,ce Cock <br />S^rvicc Box <br />10. Hours Labor ..........................................Cost............................._..................... <br />Cuti:;.__._..._._....Paaement......_............X_ ...................... ........................Sq.Ft. <br />....................X........................ ........................ <br />„ <br />....................X........................ ........................ <br />�, <br />................... <br />X ........................ ........................ �� <br />Total ......._..-'--........Sq. Ft. <br />--- ..'----- <br />Rerna� ks .......................................�----................................................................. <br />... _......._ .............._........_..............................................................................._..... <br />_.. -- .............._.......-------- <br />Order Pccciaed............ <br />1: ork ComFlete<i....._.. <br />_..__.. . <br />Foreman <br />� <br />