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R' a Finn l G <br />CITY OF EVERETT--Water Dept. <br />Application No......................� te......... <br />L stal�j_. r1!....._._ _inch ,rater service pipe <br />/ Y—r' ". <br />........................ <br />Cn.........22.....e �................. -1....__." '.. .........................._... Street <br />Lot..........a..... ... .............................. Block No .................... »--............ <br />Addition ................. ............. ... __. _ _............................. ..a.......... <br />.... <br />Remarks ...... ........ ?��...IA. <br />................... .................................................. ;.......... ................ ...... ................... <br />n............ .................... ....... ... <br />............................................... ................ r- ........._............-- <br />. ......... ... <br />D' <br />jt\� S cri�tendc <br />P �.A LABOR AND MATERIAL 17SED - <br />Le, d Connection Complete <br />............... ................I Sadule Complete <br />Service Cock <br />Serv;co Box <br />No. Hours Labor .................. ............................ Cost ........................... _....... ................ <br />Cutin ............ .... .... PavemenL................... X............... ........ ........................Sq. Ft. <br />........ X........... _...... ... .. <br />...................X........................ .� <br />Total Sq. Ft. <br />Remarks.......................................................................... ................. ............. <br />Order Received ..................... <br />Work Complet2d..� <br />n <br />