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w. a io�wS ��� � _ _ � �.:.(��� <br /> �ITY OF EVERETT--Water Dept. <br /> Application No.f��..�p� Dnte..........tQ..__I_..._..................19_�� <br /> � Insta ....._... .................inch water servlce pipe <br /> For . . ... ... .. <br /> ... .. : .... .. ... ....._ ... . <br /> on ....7...9...3 ...... . ...... '�' `�% :_ sc�c <br /> ....._.... <br /> Lot..................._......_._..._........_......_....... B i�:g No.�.___._._.._.._._-- <br /> Addition ..................................... .. ..................._. <br /> ...... ..�_.._........_........... <br /> Re�natks ..................._............. ' <br /> . . . .�0.94�_................. <br /> .........................................................._............._.........._..............._._...__....._... <br /> Superlatendent <br /> LAB�R AND MATERIAL D9HD <br /> No. Size • <br /> ........._.......................................... :.ead Connection Complete <br /> ..........._..-'--'--............................. Saddle Completc <br /> .........._..........St_.........._............. ..............................._.........._...........................Pipe <br /> ......_............................................. Scrvicc Cock <br /> ..............................................._..... Service Box <br /> .. ......................_..................... ..............................................._.._.........._.........................._.._............... <br /> ................_..__.............................. .................................-'-......................_.._.........._......_........................... <br /> No. tiow�s Labor..............................................CoeR.._.._.._.._......_.._......_............... <br /> C�it in....................Pavcment..............._...X......._............... ......._...............Sq.Ft. <br /> ....................X........._............. �� <br /> ...............__..... <br /> ....................X..........._......_.. .� <br /> ....--'-............... <br /> ....................X......._.._.._. .� <br /> ...... ......._............... <br /> Total ..._...................Sq.Ft. <br /> ��--- ---- <br /> Rema rks............................................................................................................. <br /> ......................................................................................................................._... <br /> .............................................................................................................. ............ <br /> OrderReceived.......................................................................................... .. <br /> 1VorkCampleted......................................................................................... .. <br /> Foreman <br />