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w.�o..a.���930 � <br />CITY OF EVERETT--Water Dept. <br />��/• �t� , i��/ /, <br />Applica'ion No.::t../....::...__... Date..i :............:-........_c..............i9�:::_-, <br />. <br />7nstaJ}.... �'�% :...:............ .inch water service pipe <br />77 —' <br />F'or .......�r..i......�...:...�::t:.;z::r. j� :- ::.............. .Street <br />' _�=�, C'� , �f=l,�t <br />.. , <br />On ..........................::...:......................................:... ......................... <br />Lot.............................................................. Block No..................................... <br />A!idi�ion .........:.:� <br />Remarks .......;�.F <br />Size <br />LABOR AND MATIdRIAL IISED <br />Lead Connection Complete <br />Saddle Complete <br />.......................... ........................... ......................... <br />................... �................................. Service Cock <br />.::................................ Service Box <br />No. Ho�rs Labar......:.._........._..:: `[�i � <br />• . ...�.�......Cost .................................................... <br />Cut�in ....................Pavemcat....:.w' �".w.i��...................._. ........................Sq.Ft. <br />....................X........................ �� <br />....... _ ............... <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />. ........................ <br />Total ........................Sq. Ft. <br />Order Reccived ................_....... .. <br />1Vork Completed ......................... <br />................... ............ <br />Foreman <br />� <br />�/ <br />