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s �. raiut �N"1� ����s v , ..--.. <br />w. o. ronw : ." � 'l C <br />CITY OF EVERETT--VrJater �ept. <br />,� c- .• ,�. .�, <br />Application No..7.1..��.,r.5.. Dute....... �...:..._�` .......................lS�.:r <br />7nstall, .............._........_.....inch vyater service pipe <br />� -- -- : , <br />� ." ..: .................. <br />For .......�..�.y...:,�......>..........r�.:f.......�.:....f3..:�:.::....�. <br />On <br />Blocic <br />Addition <br />F.emarks <br />m <br />Street <br />No. <br />LABOR AND MATERIAL L�S6D <br />Lea�i Connection Cumplete <br />Snddle Completc <br />l p' <br />........................................::::%..,.�...r.`:_�.: �.... �Pe <br />5crvice Cock ' � <br />Service Box <br />No. Hours L�twr ..............................................���................_.._......................-----'--- <br />Cut in ....................Pavement....................X......._.............. <br />. ........................Sq. Ft. <br />....................X..........._........... ......._......_....... <br />�� <br />.... ....................... ........................ �� <br />................X. <br />Tolal ........................Sq. Ft. <br />� <br />Order Fecei��ed ...................... ...........�..............................`�.r.1.:i�-�.�..... / <br />i G7 <br />, ,_ � <br />\Vorl�. Completed ........................................................................................... <br />Foreman <br />