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n" <br />Sr� <br />_�i ' <br />/� l r'o � ` � <br />w. o. ro�r T � - . <br />CITY OF EVERETT--Water Dept. <br />, I <br />Applicakion No..,:�.���..�".:�.... Date......�:�::'.:`_._:...l.� ::..............19...... <br />h <br />lnstall..:.>�_u .::................inch water service pipe <br />For.................................. ... <br />� .._ J <br />O» ..........G�•.�.......1.'....:� <br />I, o t ......................................... <br />I <br />Street <br />Block <br />`� ' 1 .ir "� - . . . . <br />/ � .... ....:.....q�..i.::: �............................. �!:._�..? 1.:.::_5' � :... .:. i..'i..'_' `.::...-....."' <br />.. <br />- �l� ��; , k: <br />.....................�. . . ._......._�.............--- <br />- .. .......................................... . ....... <br />� Superinlendent <br />ff-�( i��;.y <br />LABOft AND MATERIAL USED � <br />Sizc <br />Leed Connection Complete <br />Saddle Complete <br />................................................... <br />Service Cock <br />Scrvice Box <br />No. liours Labor ......................... <br />Cut in ...................Pavemenl...... <br />/ �l`-- -. . ..... <br />Pipe <br />........................Sq. Fl. <br />........................ �, <br />........................ .� <br />. . . ....................X........................ ................._..... <br />�� <br />Tolal ......................_Sq. Ft. <br />— -- - -- <br />Remarks....................................................._ ........ ............._................._......_.. <br />OrderReccived.._......._........__._..........,.........._........_........_....�......._.. <br />, ( ,� � <br />\Vork Complcted ........:................:......:.....:'............_...........1- '.�.1`.'..'..i.'.:�. <br />Forema <br />