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5 prier. 4M :.16199!]/ <br />W.'n. Form ] <br />CITY OFEVERETT..Water Dept. !� j <br />Applic?tion NuZO_I-`�-1- <br />1. Date.<r..::i_....:....... _�...-..--...._19- <br />!.. h <br />Install/....:v$..-.---,.---inch water service pipe <br />I <br />For-...--..l..�a1.-;. C.... ...........:.:.Ct. �- _J <br />... ......................... .... . <br />D2f�11. - <br />On ........... �n ................ ....... .......... .......... .............................. ........... ..- Street <br />=..?I. Block,_ <br />Addition.........................�:ti::...... .,f_=.:. --......:._ ._.. <br />Remarks..... ......................................................... . r� / .. .............................- <br />t_. r . <br />........................................................... <br />I Superintendent <br />LABOR AND MATERIAL USED j - <br />S_ize I_ <br />................. Lead Connection Complete <br />.; _x.-.E" Saddle Complete <br />�4_. ,.. <br />.: ........... .............................. ...........................Pip. <br />pp <br />) Service oc <br />t�!:S.'..4... Se5vice BoxN d- P o <br />g.............. ................:............. .v t �.f-. -A. a .� .._....-..._............... --' •- <br />-�/ �....... * ... �r� - a.._....._A z�.... (P.. ............................ <br />.4.-------- <br />Na. Hours Labor.......................................:l--Cokr'l:`f.................................... <br />Cut in... ................. Pavement ........ ,?. <br />.................... X.............. .-0.00'.. ..................... <br />.. <br />I�' ��. ✓`j................ ....X........................ --. <br />?IPA, <br />Total .................Sq. Flo <br />.. ........... °-....... <br />—22-73 <br />.-.-........................................................................................................................ <br />Order Received.............................................................................. <br />/ <br />W..................... <br />Work Cornpleled.................................................... j/ <br />.................. <br />Foreman <br />