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'` _- J D <br />^-,�n- <br />w. o. ronw a ��� � r i i <br />CITY CF EVERETT-••Water Dept. <br />. .. <br />Application No...iL::-:.'-J�. llate.....:..-.�L..`.� ...........................191.�/ <br />Tnstall ...............................iich wat=r service pipe <br />For...... ................. ........ ... ............. - � ........................... ........ <br />.�...7 �....._......� . <br />-, _ • � ti...- �.2: . <br />On ......:�._�.N_� G�c_..:4.'-...�.-�-...-.':.... '�. <br />...... .. . � ....................... Street <br />Lot........................................ .._....... .... Plock Ido.... ................-----....... <br />Addition........................................................................................................ <br />Remarks......... .................... ..................................................� - � - <br />Superintendent <br />LABOR AND MATERIAL L�SBD <br />..............I Lcad Connection Complete <br />....._.._... Saddle Complete <br />...... ...... .................................................... <br />............. Srrvice Cock <br />............. Servicc Hax <br />I__ ................ <br />i. . ...... ... . ... <br />No. Hours Labor...._ _ ............... ...................Cost.................................................... <br />Cutin ............. ......Pa � euunt.... .............X........................ ........................Sq. Ft. <br />• .� <br />.. .................. ........................ ........................ <br />. ........_......X ........................ �� <br />....... _ ............ . .. <br />...................X........................ �. <br />........................ <br />Total ..............__..._Sq. Ft. <br />—� —�_______ ______.--_.____ .____ <br />]tr:n a rks ............................................................. _.. .... ....-------- <br />.................... .... ................................................. ......................... ........... ..... <br />Order Recciced ................................................... <br />\Vork Completed ............................................... <br />