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� � /73a � . �- ��� � -� � <br />w. o. ro�w a <br />CITY OF EVERETT--W'ater Dept. <br />Application No..�%j�'...%.... Date ..............................�..—.�.' 19G:.`.f <br />.... <br />Install ...............................inch water service pipe <br />I'or .................................................................... ....................................... ... <br />.... <br />, . <br />On ........_:3.�.....�...........�......�i:r-........«-.c� ..................... Street <br />I.ot .................................................�.---....... Block No..................................--- <br />Adciition.......................................................................................................... <br />Remarks....................................................................................................... <br />� ,�- <br />.................... �..._.l.c... r�.......... ....................._............................... — -- --- <br />� ............. ........................... <br />.�V �� �,�, <br />.................... ................. <br />9- z.z- 7� <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />No. Hours Labor ..............................................Cost.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />Total .......................Sq. Ft. <br />— --------- <br />Re m a rks ................................................................................................... <br />Order Recei��ed......... <br />\Vork Completed...... <br />.................... <br />..... <br />Forem <br />