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w. o. ronR a �� � / ^ . <br />� CITY OF EVERETT--Water <br />%�� C �,;� l� <br />Dept. <br />Application No..%:J.�...`i .� Date ...................�?..�.:..�..............19...L:` -� <br />....... �.....< .... : ...:.... . .l.-� ik � ..............�.................r /vice pipe <br />For......._`. . -+ �� 75ta1L.t-...'�........<,./.......mcn wa'er`ser ................ <br />r� <br />On /...7..J..........J... { --•Street <br />Lot......................................................J.... Block No........................ <br />Adciition.......................................�---............................................................... <br />Re�.narks ............................. . .... ... <br />. .... . . . . . . . . . . <br />.. ..... .. ........ .. ..• -- -- -. ..... <br />._.— - . <br />............................................ .c� :: �:?�.u:�tf..: �.f�� �.......................... <br />SuperintendenS <br />LAAOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Boa <br />No. Hours Labar ..............................................Cost.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ �, <br />........................ <br />v .� <br />Total .................. .....Sq. Ft. <br />— -----�-------- <br />Re�narks ............................................................................................................. <br />Order Received .................................................. <br />`Vork Canpleted .............................................. <br />........ __ .................. .... <br />_ .................... �..... �......... �.. 1 <br />Fureman <br />