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s.,: �.�..�,�� 2�� ' %, � �� Z <br />w. u. w.m � <br />CITY OF EVERETT�Water Dept. <br />Application No...I.I...�..��.....a... Dat ......:....................1:.��........19:7� <br />Install...... �:.. .�.. mch water service pipe <br />,{�� � - -A-.. ......' <br />For ...................i1Xs1-'!'•�.._� ��.% ."P�.1'�_:%...✓.............---........---............. <br />On .........................%..c�...c�..._�!.l.�..L�!:�:�^:�::.,':.�,.,,,,,,... Street <br />Lot- --- -� ................................................ Block No....................._.............. <br />Addition ................................................... ..........................---... <br />, � ............... .... <br />Remarks .......�t�::L1,u.....X_�.:.'::V-t :c..�..�� .................... <br />�'+ �/�' � LAB06 AND DIATEBIA�. <br />Lead Connecaon Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />No. Hours Labor ..............................................c:oss..........................._....................... <br />Cutin ....................Pnvement....................X........................ ........................59.Ft. <br />....................X........................ �� <br />......._... <br />....................X........................ .� <br />........................ <br />....................X........................ �� <br />Total ........................54. Ft. <br />• _ �f /_ ' sf�._ J: f', r.. _ <br />.....................................F....................................................:......................... � <br />_..._._..........._ .............................................................r.....,:.....:.�: ......._.....� <br />� r <br />' . i..:..r.....,!. <br />Order Fecei��ed ..... ....................................................�..:.. .1' l �, <br />. , �� ,; � <br />7 .. .. <br />CdorkCompleted... .....,... .^... �.�._.l`f......_ ..............._.............................. <br />��� ✓� Foreman / <br />! <br />� <br />