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CITY OF EVERETT--Writer Dept. <br />Application Noy/.:� Date........ /P.. ...z............1 <br />H <br />lnstalL.....�../..inch water service pipe <br />For ............. �Q'Gnc.....'/�c�............................................I......... <br />..... <br />On ..........,TQ I..CIIG��.zf.......................................... Street <br />Lot..................................................... _....... Block No ................. .... .............. <br />Addition.......................................................................................................... <br />Remarks ...... ....... <br />-'.. ¢,o.F l........�-" ....................... <br />........................................ ../„Y. I — " -...................--..'--.. A......................... <br />No. I Size <br />Lead Connection Complete <br />Saddle Complete <br />......................... <br />Service Cock <br />Service Sox <br />No. Hours Labor ........................ -........... ..... Cost. ....... .............. ........................... <br />Cutin .................... Pavement. .... ._........... X......._.._.._....._ ...... ................ Sq. Ft. <br />.... X........ _. _.. ........ <br />.......... ......... X........... <br />J N <br />,.Glc lam'- Total ........................Sq. Ft. <br />OrderReceived.........................................................................._.............. <br />Work Completed.7._-/srl. <br />Forema <br />