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� - _ �� <br />, <br />�0 ��2 °�- � ' ` . <br />L d. PNIt\[ �] � 61 ' "` ' � . <br />M'. O. IORM . <br />CITY OF EVERETT--Water Dept. <br />Application No��� ..:.....:....�.. Date.....--........................................19...... <br />Install............ �.�t,l... . ..... .inch water service pipe <br />.... ........ <br />For ...................................................................................................... . <br />� :t....::. � ...... ..._........... Street <br />n .................... <br />.............. ................................. <br />. .., _ - - -..... Block No ..................__............... <br />Addition.................................................................................................... <br />Remarks...: .........•---.......................... <br />:................. _............. ------............................... - <br />! .:................ ......_ ....................--............................................... - <br />.......- .........................:........... <br />..................•---...... <br />................. ......... ......... _.... guperintendent <br />LABOR AND MATERIAL USED <br />No. <br />Lcad Connection Complefe <br />Saddle Complete <br />..............................._....... ............ <br />Service Cock <br />. ............ Servicc Boz <br />Na. How�s Labor ..............................................�,o��..........................................-----.... <br />Cut in ....................Pnvement....................X......._............... <br />..................._...Sq. Ft. <br />................... Y..............._....... ......._............. <br />. �� <br />....................X..............._....... ........................ <br />,� <br />.... ........................ �� <br />...................X................... . <br />Total ........................54. Ft. <br />.....------- <br />. �;� ' � <br />Order Peceived ................................................. ..,;.................................. <br />. <br />.....................................�Foreman .. <br />,•+ , r': <br />\Vork Comgleted.���..�1......._.'.,; . <br />