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w. o. ra�M a����� 7 _S[..�-• �' <br /> CITY OF EVERETT--Water �ept. <br /> Application No...l.�:�/_: .... Date....._`3...:�............................19.1 Y <br /> Install...............................inch water service pipe <br /> For ...................................�............................................................................--- <br /> �;"^ � �� (i y <br /> On ....,......�../..../........[..�:.........�.�...:_rl....�t.:::..................................... Street <br /> Lot.............................................................. Block No..................................... <br /> Addition ... ...................................................................................................... <br /> Remarks .... ..................................................................................................... <br /> ............................................................................. ........................................... <br /> ........................................................................................................................... <br /> r�,> � �..� <br /> ............................................................................ .........................................._... <br /> 3/ �, �� �= <br /> ..�............-..........�........................................................................................ <br /> c, �3�_ j � Superintendent <br /> / <br /> LABOiZ AND N.ATERiAL Q9ED <br /> No. � Size _ <br /> ,,, .,_.,,,,—�.......— L�ead Connectton Complete <br /> ...................................................... S:iddle Complete <br /> .......................ft............................ .......................................................................Plpe <br /> .................................................... Setvice Cock <br /> ............................._....._................ Ser�ice Box <br /> No. Aours Labor..............................................Cost.................................................... <br /> Cutin....................Pnvemcnl....................X........................ ........................Sq.Ft. <br /> ...................X........................ . �� <br /> ......_............... <br /> ....................X........................ �, <br /> .................. .. . <br /> ...... .............X........................ �� <br /> ........................ <br /> Totat .___.............._Sq.Ft. <br /> --------- — <br /> Re-narks......................................................................... .................................. <br /> ............................................ ....................................... ................................... <br /> ........................................................................................................................... <br /> OrderRecei�;ed............................................................................ .................� <br /> NorkCompleted......................._........_...................................... ._............ .. <br /> Foremsn <br />