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s. a. r�e3 �Q 3 O (/.�� 1 <br />w. o. rdRM 0 ' ' <br />CITY OF EVERETT--Water Dept. <br />Aaplication No.....'...:'_' ..: ?._�' OFG 6 1901 <br />. � Date ................................................19...... <br />Install ...............................inch water service pipe <br />i _� <br />For � �. , � i , ; (; , <br />On ....................:...... ............:........v. ................................................................ <br />......_� ........ ......:_.................... <br />...i J i�<� ...:....' :.:.................................... Street <br />i.nt -- - - ............................................... Tilock No.........._.......................... <br />Addition ............. .... <br />Remsrks ..................... <br />� �� � - - --�- Superintendent <br />C�ABOR AND MATERIAL USED <br />No. i Size � _ . <br />L�?d Connection Complete <br />Sada'c Completc <br />Servicc (.�ck <br />Service Box <br />No. Hours L�bo[ ..............................................a,o>i............................................._...... <br />C�it in ....................Pavement....................X........................ ........................54. Ft. <br />....................X........................ �� <br />....................7{........................ ,� <br />........................ <br />....................X........................ �� <br />'Potal ._ .....................Sq. Ft. <br />--- <br />Remarks........�..�%.: ' l: .'l_::......... , , <br />.... .......... ... <br />........ ....................... _........... <br />_ !S y........ �.r.?.:`: e.s��..`..... .._..S f.:'.i.E..�....__............_ ................... <br />Order Receice� ................ <br />',Vork Completed .............. <br />...................... ................... <br />...................... . .............. <br />........................ . .... ........ <br />Fore <br />