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�� <br />w, o. roqr a ��o� y %.' :� C� _' <br />CITY OF EVERETI'--Water Dept. <br />Application No.��'.J'.�..�..... Date.........:.:�._:.� .........................19:::-:; <br />Install ...............................inch water service pipe <br />For...................................?.......... • <br />.r . -y-.. ..........................._......:...�.................... <br />On ......:.:..:�.e..`.�......lt.. ._ .,%,.�_ (,: ,�.�...�:_:�:�... Street <br />...... .. ............... . <br />Lot.......................................................:...... Block No..................................... <br />Addition.......................................................................................................... <br />Remarks......................................................................................................... <br />LAISOft AND MATERiAL USED <br />Lcad Connection Complete <br />Saddle Complete <br />...._ ................._.... ...................... <br />Servicc Cock <br />Servicc Bux <br />No. Hours L�bor .............................. <br />Cut in ....................Pavement........... <br />Superintendent <br />.. .....................Sq. Ft. <br />........................ �� <br />........ ..... <br />_ <br />Total ......................_Sq. Ft. <br />�--- --_-- = <br />Remarks ....................................................... _................................ ...... _ _ <br />.................................................................... <br />(' •der Received ......................................... <br />\Vork Completed ...................................... <br />.... .......... ...........Fo rema n� <br />