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Awl IL. <br />. W gv=_rona a t <br />S. ]. Priebe do ! 3 i <br />CITY -OF EVERETT--Water Dept. <br />CQoorp <br />Application No ------------- Date -__.__c.._/C ----------- <br />._ <br />Install__ _ _ _ _ _ _ _ _ _ _ _ _ _ inch water service pipe <br />For----------------------------------------------------------- <br />On.- ------' -----Street <br />Lot..-.--. .... ..--------------- Block Ni.. ................. <br />Addition --- -- ---,---------------------- <br />Rem:,rks 1..... . • .... ......... .. <br />--- % / r •--• - -- <br />I/!-- ---- -- -•- <br />-- --- f <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />_ ....................................Pipe <br />Service Cock <br />Service Box <br />=--- - <br />� xft� J�LjJ's l_T-------------- --- <br />S___:1.[1Y..41 1.L-C-r?�---"=- —=_- r___________________ <br />No. Hours Labor ------------ _--------- Cost.-_-_-_--_-__--_-__------_------____ <br />Cut in-_.,. -------- Pavement ------------ X.............. ............... Sq. Ft. <br />,._........_.X__________.' <br />------------X ------ ,. <br />------------X------------- ---- ---------- <br />Total ..__._.--_-._.sq. Ft. <br />Remarks.... •---II • ----------------------- ------- <br />_--_-_-. _...�� !�- J------- <br />.-.-_-_----_r. =. ..._ _ C"n?------------------------------- <br />_ <br />Order Received -------------- ------------------------------- <br />Work Completed- ----------------------------------- - -- -- <br />