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W. D. Form a 6.4d 4.0 2 I i <br />S. J. T iA. ' <br />CITY OF EVERETT- Wate '/Dept. <br />Application No.�_ -�D, e.... ------- ----I9.J <br />Install __ ------ -------- inch water service pipe <br />For <br />f� <br />On — - - Btrcet ------- - <br />Lot. ------•----- Block No. -- <br />Addition _________________•_. <br />Remarks <br />------------ ------------- <br />/lt t F <br />S�perintendew -- <br />No. <br />Size <br />LABOR AND MATERIAL USED <br />-- <br />_ <br />Lend Connection Complete <br />-----•......... <br />............... <br />--------------- <br />--------------- <br />t_.__. <br />Saddle �Complete <br />. ._-_--._.. <br />-___._-�� ---------- Pipe <br />...... .... .. ... <br />.. ...... �r _. <br />Service Coc <br />----------- --- <br />1...............� <br />--------------- <br />,, <br />Service Box <br />. <br />_ ............__. <br />No. Hours Labor .............. ••---_G Cos <br />Cut in ------------ Pavement ._..-..__._-X._....... <br />t P-•--•--•--•- <br />4.- <br />-X.----- •--,. <br />-------------. <br />----------- X---.....-•---- <br />f/ _ Total ..-___---.._. Sq. Ft. <br />Remarks---- <br />----------------- <br />Work Completed__ <br />Forcmon <br />