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w�o .o.� /.S 9� 3 - � `"�' <br />CITY OF EVERETT'--Water Dept. <br />Application No./�.'..%�.j. Date...........l:.�.y......�........_.._1�: � <br />/ Install.......... �... .�..........inch �vater service pipe <br />For % �r ��rfl.a��«. .lc-�,.:,_...._ �.� .............................. <br />...�:.....��-........ . <br />, .,._....... Street <br />On ........�/.�2....��;���t.:l.�E'r.c ......................... <br />� _• ............. Block No..................................... <br />Addition._ ..................................................................................- <br />Remar/ks ...:!J."...''ta�-......11�'-....�k.t,[.t........- .............................................. <br />�.(�.Ar...�.l.l�...: �.. .�� Cl..��<F ....................................................... <br />....... .............. ._��_" <br />.... .....:.::��-,r.�.:". <br />ix.•.� <br />. �� <br />No. <br />.............. <br />.............. <br />......_.....__. . <br />...................... <br />�- <br />LABOR A1�D MATERIAL USED <br />Lead Conncction CmnQlete <br />Saddlc Complcle <br />...................................................................... Pipc <br />Service Cock <br />Service Box <br />................................... ............................................................................ <br />.................................. i................................................................... <br />.......................... <br />� <br />..........-� No. Houcs L�bor .............. .........................Cost................................................... <br />Cut in ....................Pavement....................X..........i............. .......................Sq. Ft. <br />, . Y..........� ............. ........................ �� <br />. . . ..................... <br />. . . .................... %.. _......1 ..... _..... ........................ <br />� ............. ........................ �, <br />....................X.........:. _ <br />Tolal ........................Sq. Ft. <br />---=-�---'-_'----'_ <br />� , . . . . . ......................................... <br />Re m a r ks ......... .................................... �..................... <br />- ..� .:.......:....................._.. <br />........................ �........ . <br />Order Reccived ............._................................ <br />\Vork Completed.:.,.....:. �.' .::......:.:.................. <br />....:..............P�oreman / <br />