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J; <br />� � - �4'y� � 7 - - <<� �/� 7 <br />w. o. ro�M � <br />CITY OF EVERETT--Water Dept. <br />� c �_ � Iina 1 t3o2 <br />�Ag�kcation No%�,S'%..'3.. Date ...................._..........................19...... <br />/� �r lnstall ............................. .inch water service pipe <br />� � . <br />Fer"./..../....!.:....'U: �.`-f..� !._�.-.� .............................._................ <br />On ...i,'..�..�!..�......._._���:�<� ...................................... Street <br />Lot............................................................. Block No..................................... <br />Adii[tion ........................................................................................................ <br />Aemarks......................................................................................................... <br />..........................-- --- <br />Superintendent <br />LABOR AND MATERIAL tiSED <br />Le�d Connection Complete <br />Saddle Cmnplele <br />...... ................ _ <br />Scrvicc Cock <br />Sereice IIox <br />No. Hours i.aoor .......................... <br />Cut in ....................1`:ivcment....... <br />Pine <br />........................Sq. Fl. <br />........................ �� <br />..... _ .............X... _................... ........................ <br />�� <br />....................X....................... ........................ <br />�� <br />Total .. ..... .............Sq. Ft. <br />-------- <br />Remarks ............................. ............................................................................... <br />_ ........... .................................................................... _........................................ <br />............................................ / <br />.......................................................................... � <br />OrderRecei�•ed....._ ............................................................__.................... <br />`,Voek. Cor:pl.eted...._._.........._..._.._......_ ................._...._..._.......Foremat� <br />