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w. <br />s.)oA ° a '� ' <br />. <br />CITY OF EVERETT--Water Dept. <br />Application No.Y-. Dar ----19� <br />stall. �� . _ _ inch water service pipe <br />For...-----_..e_L�•--'�1------- -.._.. <br />...................... Street <br />Lot .- ------•------•--- --•....Block No ...... ............. <br />Addition .. _.. .) - �. q ....... �. <br />Remarks .... ..� .. _.l�� .- • �---..:-:4'r!t.-ate: <br />•---...bp)----------------•----_..._.. ..-•-----•• <br />------- <br />---------•----•----...__.--------------•-- <br />I " LABOR AND MATERIAL USED <br />..- ` Lend Connection Complete <br />--.1_�.--. •- ..N A.Ca..... S dle Complete- Cmlu-ate (?rrfrrra�--�.-s� <br />k--------C�------ <br />_.....I........ ...... �.- Service Cock _ p. <br />__.. J_.........3/fit_......_. C$:,R': --- <br />.. ................ .......... .. --------- -•—•--------••-•--••._...____._...._...__------ <br />No. Houn Lnbor.............. ......`.Coa .. a: .._..................... <br />Cut in -- __------- Pavcm,.tit .--- .--- .--- X ............. ............... Sq. Ft. <br />v <br />X_______ ______ <br />1'1 1 <br />Total ....... ... -Sq. Ft. <br />Remarks.------------------------------------------- <br />------------ ------------- — - <br />Order Received ... .......................... ...... .....• <br />Work Completed ................................. / ..--rorea�o� <br />