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: =!6/�8-, , . �'",-� <br />w, o. �o�w a <br />CITY OF EVERETT--Water Dept. <br />Application No.1.�'_�..Y�. Date ...............�..:...?....................19:E?.Sl <br />.. � i, , <br />� ^ Iastall../.._..,..7...r .. .... ...... .mch water service pipe <br />For .,yLC::`[ ...........�.i.:.:.��i..�.:��:: � ��..:.... <br />...�..)............... <br />On .......�..........................�.l..l.�...... % . � ;: f� - �x!' Street <br />� .............,�z . . ._,... .... <br />li, _1, '�// ,� <br />�i� Lot.....s...�.:..'.......J:._ _ .......................... Block No.._.-5............................ <br />Addition...................................................................:...................................... <br />/- i <br />Remarks ;t�1:�::C.:._,...1_G:c.�s�C/..' ..............:r.:z`�::a..::�:.:.—................ <br />� <br />LABOR AND MATF.RIAL U9ED <br />:.ead Connection Complete <br />Saddle Complete <br />...C�✓,t•,� ....:...................................................PiPe <br />5ert�iCe Cock <br />Service Box <br />;.. r n�;... . ................_................................... <br />.......::.... ...................... <br />i :. iz � E, <br />_....J. � �1`y�. ,�.� .............................._................................................... <br />-- :............................................................................................................ <br />No. Aours Labor ..............................................Cost.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq.Ft. <br />� � �� �� <br />� ....................X........................ ........................ <br />t.,. <br />�� �� <br />� ....................X....................... ........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />... ................��. <br />OrderReceived ............................................. .......�.../.............................. <br />\Vork Completed..j.r..L.l..:._:•.L ::............._.1�..��.n... . ..... . <br />�oreman <br />