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a + n�ii�c u �` {y� �y <br />w. o. ro�M � � � � ' • yt7� ;i :J <br />CITY OF EVERETT--Water Dept. <br />/ �Jl /� .: �. � S� <br />Application No.../.��.'.1...:.. Date........fl�:f:�.::G . .... ........19...... <br />' �:, / <br />Install......�z,l....�: ..........inc ater service pipe <br />For ........ —.�a1.t/s:r�.t.....t�..��" ...!�r .. ....................._............... <br />On .....................s�..c,�..�C:.........._ .�..�.1..���:t.e.f.c�....�.--._... Street <br />t.nt - - -- - - - -- ��------�-----....... Block No......_ ................--.......... <br />Addition <br />a: <br />� <br />� .� '� },�OIE AND IHATE:RIAL D3ED <br />I.ead Cnnnectlon Complete <br />Saddle Complete <br />................... _..... <br />Service Cock <br />Service Box <br />NaFiours L�bor ..............................................�os[........................................._.......... <br />Cutin ....................Pavement....................X......._............... ........................Sq. Ft. <br />v �� <br />....................X........................ ,� <br />........................ <br />....................X........................ ........................ <br />�. <br />Tntal ..._.._.._...........Sfl. Ft. <br />----------,'---- <br />Remarks..._ �.' ..._'.._ :.:............................................................. ........... <br />�. .... � <br />_ ..... <br />.................................._'.........................................................:....:........._:.......... <br />- <br />OrderPeceive�i ............... ............................................................................. % <br />\Vor}. Completed ......:....:......._...:.:.i.,._.............__._..................................... � <br />Foreman <br />,` <br />