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..�g3��}' ,�.-,, � ✓ <br />w. o. ronw � <br />CITY OF EVERETT--Water Dept. <br />�c� r :�_�.r 1 I9s2 <br />. . ...................... ..19..._.. <br />Appl�eeGort No...Ll : �.. �.� ...: Date .............. ...... <br />/ Install ......... .........:.......... .inch water service pipe <br />�/ � . . ............. <br />For �.�`:.::J.i.`L.':....`:�tl:.�c..<..:t.:�.:....�..._ .!.:../.........._,,.... <br />�'� • y.........::�;.i:.-f..�.s.. ...C.::.L..:L..i...::�.:C...... Street <br />On.........�... ...._'�.... <br />' ' _ ......... lock No ..................................... <br />Addition................................................................. <br />Remarks ......................................... <br />..................... . <br />.................................................... <br />........ _ ............ .... ............. <br />.. .......................................... ........................................_ _ . 3uPerintendent <br />—____'_ — <br />LABOR AND MATERIAL USED <br />............... <br />............... <br />Size <br />I :.eud Connection Complete <br />.,... . Saddle Complete <br />.. . ......... ....................................... <br />..... Service Cock <br />_.._.... Scrcice Box <br />� ....................................__. <br />.......... '�� <br />No. Aours Labor ..............................................Cost........... <br />Cut in ....................Pavcmc�l....................X....................... <br />.................... X........................ <br />. _ .................X... _........... _...... <br />Total <br />_----- <br />Remarks.... .............. ...................................................... <br />_ ..............._ ._..._... ...._..................................... <br />_ _ .. .................. _.................................................._. <br />Order F.eceiced ..............................._... <br />................................._... - ............... <br />_... . <br />\Vork Cmnpleted ................................................................._.......�orrman <br />.. <br />