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� \\� <br />6'.L /OI[\M ]M � <br />I 2 - �.��,, <br />W. �. r��� �CITY OF EVERETT--Water Dept. <br />Application No,la��'..,Z.. Date.....�: ��'.�:�...........19:�..% <br />. <br />7nstalL.......l,f.�............inch water service pipe <br />For........(.�a�:�......�.�...�.2-«.:w[ ..........j..........................................._..... <br />On ......�.�?.�..��....._�f—.�.z-.2..�.�.�-:.�..Li., c�..�e��„---... Street <br />Lot........................�--................................... Block Nq.................---......-�----..... <br />Addition <br />Remarks <br />No. Hours Labor ..............................................Cost................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ �, <br />........................ <br />Total ........................Sq. Ft. <br />... ......................................................-------...-----------_.�/ . <br />..................................................... <br />.1.....l.r.�� :4•a..�...�!.`.:ti.4...........'-' ............. <br />OrderReceived ................................................................................................ � <br />\Vork Completed.....3.:'.1 c?..-...�:...`.j ................................................. <br />Forem�n <br />� <br />