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.7 <br />S 1. Pciebul 9� 8 ' ' <br />�". D. Form D ' ' <br />CITY .OF EVERETT-=L�; <br />Apulication No.. �-L..C�. �1..�.... Da} e .................: t <br />n lnstall....._ ��7..�......... � nc] <br />/� _ 1 <br />ror ................v�.....U..........11.1.��:..t...F�..:........ <br />. <br />.� � /) L� ��.1� .......::.:..':.� <br />On ..................... ...........:............ <br />Lot..........._..........��?.� .............................. Block Nc <br />Adclition.................................................................... <br />�, i <br />, ., "-..� _. <br />Remarks .............i.!..'....:....'......---....::........---......... <br />No. <br />Size <br />� <br />�1 <br />LABOR AND MATERIAL USED <br />Lcad Connection Complete <br />Saddle Complete <br />.................................................... <br />ucrvice Cock <br />Service Sox <br />L ✓. \ , <br />V <br />te:r Dept. . . <br />'�:'...:' ...............is. �i f <br />water service pipe <br />Pio. FIours Labor ..............................................Cost............:.:.................................... <br />Cu: in ....................Pavement....................X........................ ............Sq. Ft. <br />............ <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />._........_ ..............._................................................................................................ <br />.......................................................................................'--'--........'--...................... <br />Order Received ...................�.,L`..._.../..��,...............:...........::_....;......... <br />\�'o: k Completed.� .....':. ....d........ '�! .............::.i.....:..':. '...: ....:... �.. <br />� / ! ' ���� " � Foreman ' ` <br />i <br />