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70��'- , <br />. � � - �-_=, , � ; <br />w. D. fO1�M ] <br />C'�TY OF EVERETT--Water Dept. <br />/7c9'�. `�-/-Gd <br />A�plication No ..................:'-... Date..............-:..............................19...... <br />Install ...............................inch water service pipe <br />. .... <br />For ........... ................,.......................................................................... .. . <br />.... <br />On .........�..�..5 /Cn'`:�:.......�:.�.�t.I ...................................... StreeL <br />r_� _._"""""........ �ilOC�C NO ..................................... <br />:S!�[�IflOil <br />Remarks <br />................ _................................................................ <br />.. <br />... ....... .. ............ <br />_ ............................................................................... ... > C t i� <br />.... <br />. / <br />............. . . . ... <br />............. ... ........... <br />.... R„_. . _ . <br />.. _ _ ................................ --' <br />"' �-������������� SuPer nlendent <br />No. <br />LABOR AND MATERIAL <br />No. Hours L�bor <br />Cut in........_...._.... <br />Lcad Connection Completr <br />Saddle Cc,mplete <br />--------...... _ ...................... P ipc <br />Scrvice Cock <br />Sercice Box <br />.................................................................. <br />...... ................................ ...... ................... <br />....................X........................ ........................Sq. F'l. <br />...................X........................ ......._............... <br />�� <br />........._ _.......X ........................ ...._.................. <br />�� <br />....................X........................ ........................ <br />Total ...................... .59. Ft. <br />_ -- --' <br />Remarks...... ................................................................................... .......... ...... <br />................ ................................... <br />Order Reccived_ ............................................. <br />\Vork Completed .......................................... <br />.... ......................... <br />........... .Forc�... <br />