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;��p �r�� �.u�nva�s 3 �� 2 �„ e'� �':_'� . . � . .. <br />� <br />CITY OF EVERETT�Water Dept. <br />Application No...,�,i..d...�:.� Date.-----_-__'�` �_�fi / /. . �e�i "�/ <br />For <br />On <br />service pipe <br />./ Street <br />Lot..........................�................................ Block No......._�./..'t............... <br />Addition ............n ...�. ....... . .. . { <br />Remarks ...........ti.�.4�-�:4.!}.-SR-...._�*'...w��.tl._�..... C`.! ,�•!'y�L,;..✓.., <br />U <br />/ �� �ii����j <br />.. LAB06 AND MAT6StAL <br />Lead ConnecHon Complele <br />Saddle o p te <br />....... . . .:�..t�._ .............. _...................Pipe <br />Servic ek <br />Service Box <br />No. Hours Labor ..............................................Cost...............................---................. <br />Cutin ....................1=avement...................X....................... ........................Sq. Ft. <br />.. _ _-----..........._ ........... ........................ <br />Total ........................Sq. Ft. <br />-- - ----- ----- <br />Remarks.................................................... ........ <br />....._......_ ..................-- --- <br />.................. _......................................................................... ........................... / <br />....................................................................................... <br />................................... <br />UrderRer.�ived ......................................................... <br />.... <br />f �/� . .. �.. <br />. ... ... . . ....... . . <br />lVork Completed.�..:.... �..z_.........:F'�/........;::...�"L�'� .�c�..�. .. <br />Foreman <br />