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� w. o. Fo.m � �000 u-�o.:� � '• - <br />CITY OF EVERETT•..Water Dep� <br />� / <br />Applicallon No. ...����...�.... Date/...._ ........ �'.�_. ..__..192"....... <br />Inate� y'✓........ inch water service pipe <br />For __.... �.•. � ��—(. <br />_ _.. <br />On o�.� �.�.... .... � .. ...Stteet <br />Lot................................._............_.........BI No._........_ ... ............................ .._....... <br />Addidon............ _ .. ............................. ..........:.... ........................... _ _ _.......... ....... .. _.. ........... <br />Ranarlce.................. .... ..................................... .. ................ .......................... ........................ <br />.......... ......................................._.........._.....................---.._.............--...___........._............_.... <br />.................._............_........................... __._......_.............._........................_.__........_..........--- <br />.--�-- .............. _.__....................._._.........._..........._ _..... ........__.__.._..............._....... <br />..._.�`.�._._I........__._ s� re -�C=c��i-Pr <br />LABOR AND MATSRIAL USED <br />.._ � ..,_ _ -- - --------- -------- <br />s •• <br />.... .... .............ft. ......x .... <br />........./ ....:............i... � ...�... <br />...........�._...........I .�':..�� <br />Ctt.t. Lead ConnecUon Complete <br />�... Saddle Complete <br />....... ..."`.✓..GL%e� ..............................Pipe <br />� � Service Coclt <br />... . sen��e Bwc <br />No. Houro I.abor...........42 .........................Cost.....i.Y......-.......................................... <br />Catin........:.�........_�a"m��en�t .�. ................%........................ ....................3q. Ft. <br />'..^^"3.l.Y...X..[�i"R ........................ �� <br />.............-- <br />Tot�l ....................3q. Ft. <br />— -'—//-------------- <br />Remarks ..'ht.atcrial S1ip T*�; �b_��i. _.. .... ..._....._........._.. <br />_ . <br />...�.O � y ../ <br />..� . <br />� . .. <br />......17��...f- .yY'R�..r�r✓ .�A-�2n .. ..._ . <br />Order R eived _.... . <br />� <br />Wotk Completed (�r� ��g�,�,� <br />F�,.� <br />