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s'.' J Fore 6.4o43 Q. <br />.'t. PrieM•� <br />CITY OF EVERETT--Water Dept. <br />Application D Date. - --- /�--i9--�' <br />{ gstall / ------ inch water service pipe <br />// ;�-�/�i t_ <br />On .....�-J �.� Street <br />Lot .-- --- -�-------- -- Block No .......... ----- <br />Addition ---------•---- - - -- - --- <br />--------- ----- ----- ---- --- --- <br />r--------------- I ......................--------------------- <br />- � � // SuVerinrendent <br />LABOR AND DIATERI;.ti USED <br />_______________ I --------------- I Lead Connection Complete <br />__--------------- Saddle Complete i <br />_______________ Service Cock <br />----------- Service Box <br />1 �i- <br />i„ i <br />No. Hours Labor_________________ __ Ja. C st_I ______._____._._.__..__ _ <br />Cut in ------------ Pavement ............ X.___.--------- _____________ s_Sq. Ft. <br />............. __X._._-• _______ ............... " <br />' 'A „ <br />Total — Sq. Ft--- <br />Remarks. S <br />— ----C . c.: ----- --------------------•---- <br />Order Received --------------------------••---------•--•-----••- <br />Work Completed --------------------- ------------------------- <br />Fureman <br />