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r <br />7� <br />w. o. ronw a <br />���%� �- - 7 - d � � � �; <br />CITY OF EVERETT--Water Dept. <br />, 7 3 � "� "..�. f ..............is.... <br />` <br />Application IGo..�7 .::............. Date.........::........... . . <br />Tnstall .............................. .inch water service pipe <br />or .................................�.................................... <br />............................. ............ <br />� o-ic_ v . Street <br />o,� ....... ....s./....�._.... � ............ ....�."...�. �:�................................. <br />T.nt -- - _ ............................................ Block No................................__. <br />Addition .... ............ <br />Remarks .................. <br />�....`...�� �-L 1�....._ .............. <br />......................................................................"" /� <br />�_'\1........... � ......�...-'-._'.......... <br />.... P <br />.................... r�. <br />.................................................... . Su erintendent <br />_ c-..�_c.c_/ <br />LABOft AND .11ATERiAL USED� <br />No. Size � ___ — <br />— . ............._.......................... i Lcad Connection Carnplete <br />........... <br />...................................................... Saddlc ComPlcte <br />.......................ft............................ ..................._........... _..........._............ <br />.................................................. Servicc Cock <br />........................... _... <br />...................... Scrvice Box <br />No. Hours Laoor........_..._ ................................,�................... <br />Cut in ....................Pavemr,nt_..................X_............_....... <br />.........._.........._54. Ft. <br />....................X........................ ......._............... <br />�� <br />....................X....... . .. ........ .. ..................... <br />�� <br />.......... ........X. <br />..._ ..............._ ............_.......... �� <br />Total ........................Sq. Ft. <br />----- <br />� . _ .........................._..................... <br />R emarks ....................................................... <br />........................................................................... .......... <br />............................ ..... <br />......... ............ . <br />Order Recei:�e ....................................................... <br />_.. . <br />\Vurk Ccmpleted.........._............_ ....... _ <br />_ . ........ <br />_.. <br />Fureman <br />