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/7„37�> <br />�d8— .3���3 <br />w. o. ronw � <br />� � CITY OF EVERETT -Wacer Dept. � <br />Applicution No..�7:3..�!��... Date ................_...............:�.'-�--19..�a.'� <br />T7sta11 ..................... ........ .inch water service pipe <br />For.........................r...................................................................................... <br />On ... ^/�? ;3 �......._�..... �--�,_ <br />`r`.`,�._............ �..'.:^�% ........................... Street <br />Lot.........................................�.................. Blcck No.................................-�-- <br />Addilion ........................ <br />................................................................ ................ <br />Remarks ..7....,, <br />�..' ................................ <br />..................... ..........................�---... <br />�{ <br />................................................................................................. <br />............................ - - <br />...�uvrt nnu mATERIAL USED <br />Lc, d Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />......... ............... <br />� <br />No. Hours Lsbor ..............................................Cost.............................. <br />Cut in ....................Pavement....................X....................... ..................... <br />........................Sq. Ft. <br />...................X........................ �� <br />........................ �� <br />--- ........................._............... ........................ �� <br />.—�_ Total ...........Sq. Ft. <br />— .......... .. <br />__ <br />Remarks ........................... <br />........... ..................................................................... <br />............................................... .......................................... <br />Order Received ....................................... <br />\Vork Completed .................................... <br />....................... <br />. <br />........... <br />.......... .............. �.. ............ <br />.......... ............... ... .. ... <br />. .......... <br />Fore n <br />