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7 � ✓ // > �r / <br />w. u..ranra ]— • � � � 1 _ _ <br />CITY OF EVERETT--Water Dept. <br />- ...........�s..�: < <br />Application No./..�.i�. �.%..� Date ...............�.:..�........ <br />Install .............................. .inr.h water service pipe <br />For. . ... .......... . ..................................�.- ........ ' <br />�J .� / � � <br />Un ..................... <br />.4::.:.:?.�.'.!.�........!�c:.�s: :�`-k.r4:......... Street <br />r.,+ _ -- ...._ ................. Blo k No../..._.................._......... <br />Adilition........................................�.........................-...-.�....�............................. <br />Iiemarks...................................C{..l�.t::1.ssJl.�2.:1_.:r..z.;:....................... <br />� <br />� <br />............................................................... Superintendent <br />LABOR A.'�D MATERIAL USED <br />No. <br />. Lcad Connectior. Complete <br />........................... ....... ................... <br />.__.I .................._....._. Saddle Complcle <br />SI.I ........................... . ....................... <br />...................... ' <br />..................................................... Scrvicc Cock <br />I _..__.._. Service Box <br />... ... . . ... <br />No. Hours L�bor ....................................... . os .............................................. <br />Cutin ....................Pavenicnt....................X........................ ........................Sq. Fl. <br />....................X........................ ........................ <br />,� <br />....................X........................ ..........._........... <br />�� <br />....................X........................ .... ................... <br />�, <br />Total ........................SQ. Ft. <br />-- --- <br />--'— <br />, ...................................... <br />Re�i�ar :....................................................................... <br />......... ...... _. ....................................................................... _............................ <br />................ ....... ............................................................................ ................. <br />Ordrr?Zecei�•ed .........................._...........___....._............................ ............ <br />\Vork Completed ............................._........__..... .............................._ .... <br />Forem n <br />