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� � � ,. <br />Jf r <br />h 2 _ ,,/..' � <br />w. o. rnnr+ .� �" • <br />CITY OF EVERETT--Water Dept. <br />iy� = <br />Application No._��".'.- Date ...............1..;.,.::.:..:./.............19.G.% <br />Iastall.........�': r :............inch watec service pipe <br />...,, :-, .i �: � il�._ ...................... <br />, , . . .......---' . ..............._........ <br />, or ..............;.:.._ ..:...:................... , <br />�, -�� �'i — �- .,''' Stree:t <br />On................:::......::........................ .......... . ...................................... <br />i.,,� - - ............................. Black No..................................... <br />�ddition - .......................................................................... <br />...................... <br />_, . , -- <br />Remarlcs......._,:<::::t:':...,::,.r..:::::� .....:....................................................... <br />� <br />........ . . ............ <br />Superintzndent <br />LABOR AND MATERIAL USED <br />.._._ I ......% Lead Connection Complele <br />........... .. .. ..................... <br />......._ .............._..I......................._..� Sacidle Complete <br />.__........_....... n ...................._...... ........................ <br />_ . ................ _ _... ........................... <br />Scrvice Cock <br />............................................:......... Sei-:ice Bax <br />.__ .............................................._. ......................... <br />No. Hours Labor .............................................Cost................................................... <br />Cut in ...._Favemc�t.....__...........X ........................ .......................Sq. Ft. <br />. .......... . <br />�� <br />....................it........................ ......._............... <br />.. _ _ ..............X..........._........... ....... _....... ........ <br />„ <br />........._....X .............._........ ....._.........._.... „ <br />.._. Total ........................SQ.Ft. <br />Order Necciced__..........._... <br />\Vork Comoleted ................. <br />...................................................................... / <br />........................ ................................ . <br />_ __ ...__ ................... <br />Forem . � <br />