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- - ,� I J ✓✓✓ p <br />-�. ( i c� / � <br />w. o. ro�w a � <br />CITY OF EVERETT--Water Dept. <br />Application No..c: G. y.%... .... 3ate........._..l�.s� : ......................19L.,1 <br />Tnstall........:.�.y ............. .inch water service pipe <br />For.................................................................................................................... <br />On........�„fc..�t'�.....�� ................................................... Street <br />r,.� _ - - .................... Block No................._................... <br />Addition.......................................................................................................... <br />Remarks.l�.G�:t:r��s:�- ............................................p....................... <br />'`-Gc<-, e�n i .< ......:-.rr.`.a,>is-r.�d:.� ..cc ./ .. .............. <br />...�...........:-..........._�.._ �• �- <br />LABOR AND MATERiAL II9ED <br />........................... .......... <br />.................I :.ead Connection Complete <br />�........:_ .................... S�ddle ComP�ete <br />...... ...........:... <br />...............1.. ^_ft.....:........ :_:.....:.: ....................... .........................._ <br />� �' � �. Service Cock <br />..................�....... ....::.................. . <br />.................................. Service Box <br />................ _�.........,...:........_.'.i:.:.:... � �.........:...:...:....:.......:...:::.............. <br />No. Hours L�bor ..............................................�osr..................................................... <br />Cutin ....................Pavement....................X......._............... ........................Sq. Ft. <br />....................X......._............... ......._............... <br />�� <br />. . ....................X........................ ........................ <br />�� <br />....................X........................ ........................ <br />., <br />Total ........................Sq. Ft. <br />............................................... <br />Order Receiced.......:�..' ::.............. .......... .............. <br />............................... <br />i-, �; �.�, <br />\Vork Completed .....::..:.......:.:. ... .. <br />..: ..:.................................................... . <br />Fore n <br />