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w. o. ra�r a�\/r/ r�' — / C l�.Z � <br />CITY OF EVERETT--Water Dept. <br />i����- �--� �� <br />Application No .......:.... ./..::. .... Date.......:c ....................................19...... � <br />lnstall ...............................inch water service pipe <br />For.............................`..�............. .................................: ....................... <br />On � ... _� ��-�.... _..._�L�C........ Street <br />... <br />.....::2:.:��.�.......1�::..._:.: -- f�..:.:. � <br />Lot............................................................. Block No.............-�-----................. <br />Addition.......................................................................................................... <br />Remarks.........................................__........................................---��- -- -- <br />No. I Size <br />Superinten3ent <br />LA130R AND 1HATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />...................................................... .................F'i pr. <br />Scrvicc Cock <br />Ser.ice Box <br />.......... ...................................................................... <br />...........................i ..........................i ................................................................................_................................ <br />No. How•s Labor ..............................................Cost.................................................... <br />Cutin ....................1'avemcnt....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ ,� <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />Order Received..... <br />\Vork Comp]eted.. <br />