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� <br />a : nni�e: n� / �� � <br />.. o. ronw _ ` � ' <br />CI i'Y OF EVERETT .�X,Iater Dept. <br />Application No:�.......�::.�i.... Date.....�/� ..........:......:.....:/.............19 . � <br />/ Install........_%. _.�,._„___.,,,. .inch water service pipe <br />For ! , � <br />.._.. ....... �!.:.:... , ,��. ... , <br />� � . .� .........._ ..........:...........:......-•-- <br />_, , , .... <br />, _.. <br />n ........�::%..:.::: '. �,- � r � .. .. , <br />.. ...................:_....:-.. : ...r....:............_............... Street <br />�.. <br />Lot................................. --..:... Block No..................................... <br />.................... <br />Addition .................. <br />.............................................................................. <br />.......... <br />emarks .............. <br />............ ..... - <br />� <br />i, �.�.. - <br />.:..::.. .:.:..... . .... . <br />...... .......................% <br />., -. , ...... <br />i . . _ , ; <br />/, � <br />...,_.L... � / � .. � , <br />� � �.:. . . ......`-'--- . .. _ <br />'� )�,'. .. � : ... � - . . ... �--- <br />�y-L'-.— . .. <br />erui[ertaent _..__ <br />�'� ! . ,. . .. <br />LABOB AND MA.TERIAL USED4J�' �- � , � .,. . . <br />:.ead Connection Complete <br />Saddle Complete <br />Service Cock <br />Sercice Box <br />No. Hours Labor ..............................................Cost............................ <br />Cut in ....................Pavement....................X........................ '--................... <br />........................Sq. Ft. <br />....................X........................ �� <br />....... _ ............... <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />— — --- Total Sq. Ft. <br />.....----�-- <br />Rema.ks ..... .:......�....T .................................... .,......................... <br />� <br />. <br />�a. �:t.:.�.r.:.....:l.::c: c........_-.�.� i �/�c� �; �s <br />.Q.. � .... ............................. <br />.......... . <br />-� �� �— -........�?...C:....... <br />Order Received ...................................................... <br />1Vork Completed ................................. -- <br />.... _....._.. <br />F�,reman <br />i <br />