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I' , <br />��� �1''%� .��`.� - .a��.�� <br />w. o. ronH a A' <br />- CITY OF EVER�:TT'--Water Dept. <br />Application Nn..�%.3.PC.... Date ................................:% ..�.::.19.�•,�a <br />Tr.stall ............................. .inch water service pipe <br />F�r ............. <br />........................................... .........•-�-----...r .............. <br />. ..................... <br />� 0.�7 5 %Z� �,,, ...............�... Street <br />On .....j ..................... .............. . :..... ............................... <br />r.�r - ------....... Block No ..................................... <br />�diiition .......................................................................................................... <br />Remarks .....f.�. .. � <br />....................../.: ...0 :.:.��.� . :............._......._..._..............._.. ........_................_---• <br />................. � � <br />................................. ...... ........ ...... . ........... .......-- <br />................... .... ....... <br />............................. .. :......�'.:... /�;.� -�, :-. ,-. <br />Run�rintendent � <br />Size <br />LABfiR AND MATERIAL USED <br />Lcad Connection Complete <br />Saddle Complete <br />Scrvice Cock <br />Servicc Box <br />.......... .............. <br />No. Aours Labor ..............................................�osc.................................................... <br />Cutin ....................Paventent....................X........................ ........................Fq. Ft. <br />....................X....................... �� <br />......._.. . <br />....................X........................ �� <br />........................ <br />....................X.... .. . .............. ,� <br />--- <br />Tolal ........................Sq. Ft. <br />— ---'— <br />Re m a rk ................................................. ............................................................ <br />Order Receiced ................................. <br />\b'ork Completed ............................. <br />. �... .. �. � ....................F'orema� <br />